Gwynn Antonson (NPI# 1700043692, PAC ID# 2567622103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700043692 |
| PAC ID by PECOS | 2567622103 |
| Professional Enrollment ID | I20130717000834 |
| Full Name | Gwynn Antonson |
| Organization Legal Name | UNIVERSITY FAMILY MEDICINE CENTER, P.C. |
| Address |
4020 Jerry Murphy Rd Pueblo CO 81001-1045 |
| Phone Number | 7195463600 |
| Gender | F |
| Medical School | KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9739157827 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060012 | ST MARY CORWIN MED CTR, CENTURA HEALTH |
| 060020 | PARKVIEW MEDICAL CENTER INC |
| Address | Phone | Organization |
|---|---|---|
| 4020 Jerry Murphy Rd, Pueblo, CO 81001-1045 | 7195463600 | UNIVERSITY FAMILY MEDICINE CENTER, P.C. |
| Organization Legal Name | UNIVERSITY FAMILY MEDICINE CENTER, P.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence C Anaya | Family Medicine | University Family Medicine Center, P.C. | 4020 Jerry Murphy Rd, Pueblo, CO 81001-1045 |
| Cheryl Wills | Family Medicine | University Family Medicine Center, P.C. | 4020 Jerry Murphy Rd, Pueblo, CO 81001-1045 |
| Street Address |
4020 JERRY MURPHY RD |
| City | PUEBLO |
| State | CO |
| Zip | 81001-1045 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence C Anaya | Family Medicine | University Family Medicine Center, P.C. | 4020 Jerry Murphy Rd, Pueblo, CO 81001-1045 |
| Cheryl Wills | Family Medicine | University Family Medicine Center, P.C. | 4020 Jerry Murphy Rd, Pueblo, CO 81001-1045 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig K Suderman | Certified Registered Nurse Anesthetist (crna) | 4026 Jerry Murphy Rd, Pueblo, CO 81001-1045 | |
| Eric R Richter | Urology | Parkview Ancillary Services Corporation | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 |
| Benjamin W Bruestle | Certified Registered Nurse Anesthetist (crna) | Southern Colorado Crna Associates Inc | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 |
| Alan W Bickel | Urology | Parkview Ancillary Services Corporation | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 |
| James S Ebertowski | Urology | Parkview Ancillary Services Corporation | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 |
| Richard L Brownrigg | Urology | Urology Consultants PC | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 |
| Leslie G Frederiksen | Obstetrics/gynecology | Parkview Ancillary Services Corporation | 4010 Jerry Murphy Rd, Pueblo, CO 81001-1099 |
| Jerome Steele | Clinical Social Worker | 945 Desert Flower Blvd, Pueblo, CO 81001-1181 | |
| Michelle R Ducy | Physical Therapy | Institute for Total Rehabilitation | 21 Montebello Rd, Pueblo, CO 81001-1236 |
| Yvonne J Morrisey | Optometry | Rocky Mountain Eye Center Inc A Colorado Provider Network | 27 Montebello Rd, Pueblo, CO 81001-1236 |
| Find all physicians in zip 81001 | |||
| City | PUEBLO |
| Zip Code | 81001 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PUEBLO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gwynn Antonson.
| 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.