Bethany Engblom (NPI# 1134383516, PAC ID# 3274679220) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1134383516 |
| PAC ID by PECOS | 3274679220 |
| Professional Enrollment ID | I20161004000152 |
| Full Name | Bethany Engblom |
| Organization Legal Name | SUNRISE COMMUNITY HEALTH |
| Address |
2930 11th Ave Evans CO 80620-1011 |
| Phone Number | 9703539403 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648164780 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060030 | MCKEE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2930 11th Ave, Evans, CO 80620-1011 | 9703539403 | SUNRISE COMMUNITY HEALTH |
| 2555 E 13th St, Suite 110, Loveland, CO 80537-5134 | 9708204264 | BANNER URGENT CARE COLORADO |
| Organization Legal Name | SUNRISE COMMUNITY HEALTH |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryce C Spitze | Family Medicine | Sunrise Community Health | 100 N 11th Ave, Monfort Childrens Clinic, Greeley, CO 80631-2011 |
| Hannah B Dunn | Family Medicine | Sunrise Community Health | 2930 11th Ave, Evans, CO 80620-1011 |
| Samuel W Davis | Family Medicine | Sunrise Community Health | 1010 A St, Greeley, CO 80631-2021 |
| Catherine J Egan | Family Medicine | Sunrise Community Health | 1250 N Wilson, Sunrise Touchstone Clinic, Loveland, CO 80537-4461 |
| Lesley C Brooks | Family Medicine | Sunrise Community Health | 2930 11th Ave, Evans, CO 80620-1011 |
| Tyler A Weigang | Family Medicine | Sunrise Community Health | 2930 11th Ave, Evans, CO 80620-1011 |
| John W Volk | Family Medicine | Sunrise Community Health | 2930 11th Ave, Evans, CO 80620-1011 |
| Allison J Kimball | Family Medicine | Sunrise Community Health | 2930 11th Ave, Evans, CO 80620-1011 |
| Justin J Walker | Family Medicine | Sunrise Community Health | 2930 11th Ave, Evans, CO 80620-1011 |
| Brenda R Campos-spitze | Family Medicine | Sunrise Community Health | 1250 N Wilson, Sunrise Touchstone Clinic, Loveland, CO 80537-4461 |
| Street Address |
2930 11TH AVE |
| City | EVANS |
| State | CO |
| Zip | 80620-1011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hannah B Dunn | Family Medicine | Sunrise Community Health | 2930 11th Ave, Evans, CO 80620-1011 |
| Lesley C Brooks | Family Medicine | Sunrise Community Health | 2930 11th Ave, Evans, CO 80620-1011 |
| Tyler A Weigang | Family Medicine | Sunrise Community Health | 2930 11th Ave, Evans, CO 80620-1011 |
| John W Volk | Family Medicine | Sunrise Community Health | 2930 11th Ave, Evans, CO 80620-1011 |
| Allison J Kimball | Family Medicine | Sunrise Community Health | 2930 11th Ave, Evans, CO 80620-1011 |
| Justin J Walker | Family Medicine | Sunrise Community Health | 2930 11th Ave, Evans, CO 80620-1011 |
| Sean T Filipovitz | Family Medicine | Sunrise Community Health | 2930 11th Ave, Evans, CO 80620-1011 |
| Paula F Clark | Nurse Practitioner | Sunrise Community Health | 2930 11th Ave, Evans, CO 80620-1011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blake Hines | Podiatry | 3306 Abbey Rd, Unit 713, Evans, CO 80620-8623 |
| City | EVANS |
| Zip Code | 80620 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EVANS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bethany Engblom.
| 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.