Edward L Marino
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC


Address: 1801 16th St, Greeley, CO 80631-5154
Phone: 9708104593

Edward L Marino (NPI# 1164452777, PAC ID# 1850396284) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1164452777
PAC ID by PECOS 1850396284
Professional Enrollment ID I20060919000064
Full Name Edward L Marino
Organization Legal Name BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
Address 1801 16th St
Greeley
CO 80631-5154
Phone Number 9708104593
Gender M
Credential PA
Graduation Year 1999
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 6800031386
Number of Group Practice Members 71
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
060001 NORTH COLORADO MEDICAL CENTER

Other Locations

Address Phone Organization
1801 16th St, Greeley, CO 80631-5154 9708104593 BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC

Organization Information

Organization Legal Name BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
Physicians 75

Physicians with the same organization

Name Specialty Organization Address
Marvin Wayne Couch Ii Family Medicine Banner Hospital Based Physicians Colorado LLC 4700 Lady Moon Dr, Fort Collins, CO 80528-4426
Jeffrey M Albert Radiation Oncology Banner Hospital Based Physicians Colorado LLC 2000 Boise Ave, Loveland, CO 80538-5006
Robert E Swaney Iii Hematology/oncology Banner Hospital Based Physicians Colorado LLC 1801 16th St, Greeley, CO 80631-5154
Gary W Bauerle Diagnostic Radiology Banner Hospital Based Physicians Colorado LLC 1801 16th St, Greeley, CO 80631-5154
Rachel M Koch Internal Medicine Banner Hospital Based Physicians Colorado LLC 1801 16th St, Greeley, CO 80631-5154
Nicole M Matthews Family Medicine Banner Hospital Based Physicians Colorado LLC 2000 Boise Ave, Loveland, CO 80538-5006
Angela Burns Nurse Practitioner Banner Hospital Based Physicians Colorado LLC 4700 Lady Moon Dr, Fort Collins, CO 80528-4426
Laurie E Gaspar Radiation Oncology Banner Hospital Based Physicians Colorado LLC 2000 Boise Ave, Loveland, CO 80538-5006
Esther L Mondo Medical Oncology Banner Hospital Based Physicians Colorado LLC 2000 Boise Ave, Loveland, CO 80538-5006
Jaclyn H Summers Physician Assistant Banner Hospital Based Physicians Colorado LLC 1801 16th St, Greeley, CO 80631-5154

Office Location

Street Address 1801 16TH ST
City GREELEY
State CO
Zip 80631-5154

Physicians in the same location

Name Specialty Organization Address
Robert E Swaney Iii Hematology/oncology Banner Hospital Based Physicians Colorado LLC 1801 16th St, Greeley, CO 80631-5154
Cecilia Jeanne Sorensen Emergency Medicine Emergency Professionals of Colorado PC 1801 16th St, Greeley, CO 80631-5154
Keith Murray Mcnab Emergency Medicine Emergency Professionals of Colorado PC 1801 16th St, Greeley, CO 80631-5154
Gary W Bauerle Diagnostic Radiology Banner Hospital Based Physicians Colorado LLC 1801 16th St, Greeley, CO 80631-5154
Rachel M Koch Internal Medicine Banner Hospital Based Physicians Colorado LLC 1801 16th St, Greeley, CO 80631-5154
Shawn Michael Weber Emergency Medicine Emergency Professionals of Colorado PC 1801 16th St, Greeley, CO 80631-5154
Kaitlin J Viola Physician Assistant Banner Health Physicians Colorado LLC 1801 16th St, Greeley, CO 80631-5154
Jaclyn H Summers Physician Assistant Banner Hospital Based Physicians Colorado LLC 1801 16th St, Greeley, CO 80631-5154
Angela L Mills Family Medicine Banner Health Physicians Colorado LLC 1801 16th St, Greeley, CO 80631-5154
Siavash Panah Internal Medicine Banner Health Physicians Colorado LLC 1801 16th St, Greeley, CO 80631-5154
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Bryce C Spitze Family Medicine Sunrise Community Health 100 N 11th Ave, Monfort Childrens Clinic, Greeley, CO 80631-2011
Kelsey Hrenko Physician Assistant Sunrise Community Health 100 N 11th Ave, Greeley, CO 80631-2011
Harlan K Gandrud Physician Assistant Sunrise Community Health 100 N 11th Ave, Greeley, CO 80631-2011
Jason E Valderrama Physician Assistant Sunrise Community Health 100 N 11th Ave, Monfort Childrens Clinic, Greeley, CO 80631-2011
Kaitlyn Weigang Physician Assistant Sunrise Community Health 100 N 11th Ave, Monfort Childrens Clinic, Greeley, CO 80631-2011
Nikki M Sides Pediatric Medicine Sunrise Community Health 100 N 11th Ave, Greeley, CO 80631-2011
Emily M Borkovec Physician Assistant Sunrise Community Health 100 N 11th Ave, Monfort Childrens Clinic, Greeley, CO 80631-2011
Samuel W Davis Family Medicine Sunrise Community Health 1010 A St, Greeley, CO 80631-2021
Thomas M Neville Family Practice Sunrise Community Health 1010 A St, Greeley, CO 80631-2021
Michael J Mullin Psychiatry North Range Behavioral Health 1309 10th Ave, Greeley, CO 80631-3832
Find all physicians in zip 80631

Competitor

Search similar physicians

City GREELEY
Zip Code 80631
Specialty PHYSICIAN ASSISTANT
City + Specialty GREELEY + PHYSICIAN ASSISTANT

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Dataset Information

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.

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