Gary W Bong (NPI# 1093896144, PAC ID# 1254482854) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1093896144 |
| PAC ID by PECOS | 1254482854 |
| Professional Enrollment ID | I20090622000267 |
| Full Name | Gary W Bong |
| Organization Legal Name | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
| Address |
106 Blanca Ave Alamosa CO 81101-2340 |
| Phone Number | 7135893000 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 4789589094 |
| Number of Group Practice Members | 93 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060008 | SAN LUIS VALLEY HEALTH |
| 060031 | CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES |
| 060022 | UCH-MEMORIAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 106 Blanca Ave, Alamosa, CO 81101-2340 | 7135893000 | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
| 1644 Medical Ctr Pt, Suite 200, Colorado Springs, CO 80907-5765 | 7196341994 | COLORADO SPRINGS UROLOGICAL ASSOCIATES PLLC |
| 6071 E Woodmen Rd, Suite 300, Colorado Springs, CO 80923-2613 | 7195317007 | COLORADO SPRINGS UROLOGICAL ASSOCIATES PLLC |
| 19021 Us Hwy 285, La Jara, CO 81140-9410 | 7192745121 | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 97% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 54% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 95% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 1% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 15% |
| Organization Legal Name | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY |
| Physicians | 95 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Nicole Daugherty | Nurse Practitioner | Lutheran Hospital Association of The San Luis Valley | 19021 Us Hwy 285, La Jara, CO 81140-9410 |
| Kalee Chavez-miller | Nurse Practitioner | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Sarah Lynn Lewing | Obstetrics/gynecology | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Edward F Kulp | Physician Assistant | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Rachel A Weinzimmer | Physician Assistant | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Derek Christopher Liston | Emergency Medicine | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Sarah Marie Mcalpine | Family Medicine | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Mark Dewitt Talmage | Family Medicine | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Richard A Walsh | Urology | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Laura P Edgerley-gibb | Emergency Medicine | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Street Address |
106 BLANCA AVE |
| City | ALAMOSA |
| State | CO |
| Zip | 81101-2340 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kalee Chavez-miller | Nurse Practitioner | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Edward F Kulp | Physician Assistant | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Jason Defee | Orthopedic Surgery | Valley-wide Health Systems, Inc | 106 Blanca Ave, Suite 300, Alamosa, CO 81101-2340 |
| Rachel A Weinzimmer | Physician Assistant | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Derek Christopher Liston | Emergency Medicine | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Mark Dewitt Talmage | Family Medicine | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Richard A Walsh | Urology | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Laura P Edgerley-gibb | Emergency Medicine | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Hubert G Taylor Jr. | Certified Registered Nurse Anesthetist (crna) | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Brian G Jackson | Physician Assistant | Lutheran Hospital Association of The San Luis Valley | 106 Blanca Ave, Alamosa, CO 81101-2340 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon Watson | Optometry | 3333 Clark St, Alamosa, CO 81101-2050 | |
| Sarah Lynn Lewing | Obstetrics/gynecology | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Sarah Marie Mcalpine | Family Medicine | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Thomas Scott Jenks | Certified Registered Nurse Anesthetist (crna) | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Mikaila Heldt Pence | Pediatric Medicine | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Mallori Gariner | Nurse Practitioner | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| David N Geiger | General Surgery | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Laura Burkhardt | Clinical Social Worker | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Jeffrey Oster | Podiatry | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Katherine Odonnell | Physician Assistant | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Find all physicians in zip 81101 | |||
| City | ALAMOSA |
| Zip Code | 81101 |
| Specialty | UROLOGY |
| City + Specialty | ALAMOSA + UROLOGY |
Please comment or provide details below to improve the information on Gary W Bong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.