Jason M Dicarlo (NPI# 1831301985, PAC ID# 3577689314) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1831301985 |
| PAC ID by PECOS | 3577689314 |
| Professional Enrollment ID | I20121023000689 |
| Full Name | Jason M Dicarlo |
| Organization Legal Name | MOUNTAIN RADIOLOGY P C |
| Address |
1906 Blake Ave Glenwood Spgs CO 81601-4227 |
| Phone Number | 9709457564 |
| Gender | M |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2005 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4688666761 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060075 | VALLEY VIEW HOSPITAL ASSOCIATION |
| 061317 | GRAND RIVER HOSPITAL DISTRICT |
| 061325 | EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 | 9709457564 | MOUNTAIN RADIOLOGY P C |
| 501 Airport Rd, Rifle, CO 81650-8510 | 9709457564 | MOUNTAIN RADIOLOGY P C |
| 4034 Big Horn Rd, Vail, CO 81657-4701 | 9709457564 | MOUNTAIN RADIOLOGY P C |
| Organization Legal Name | MOUNTAIN RADIOLOGY P C |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth L Kulwiec | Diagnostic Radiology | Mountain Radiology P C | 504 21st St, Glenwood Springs, CO 81601-4287 |
| Andrew Elliott | Diagnostic Radiology | Mountain Radiology P C | 4124 S Helena St, Spokane, WA 99203-4215 |
| William G Berger | Diagnostic Radiology | Mountain Radiology P C | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| Clinton Mark Anderson | Diagnostic Radiology | Mountain Radiology P C | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| Steven P Ross | Diagnostic Radiology | Mountain Radiology P C | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| David Goodbee | Diagnostic Radiology | Mountain Radiology P C | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| Trent A Paradis | Diagnostic Radiology | Mountain Radiology P C | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| Matthew Cushing | Diagnostic Radiology | Mountain Radiology P C | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| Harold D Young | Diagnostic Radiology | Mountain Radiology P C | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| Lloyd M Kershen | Diagnostic Radiology | Mountain Radiology P C | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| Street Address |
1906 BLAKE AVE |
| City | GLENWOOD SPGS |
| State | CO |
| Zip | 81601-4227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Nelson | Physician Assistant | Valley View Hospital Association | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| Kimberly Ann Johnson | Nurse Practitioner | Valley View Hospital Association | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| William G Berger | Diagnostic Radiology | Mountain Radiology P C | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| Brandy D Drake | Emergency Medicine | Valley View Hospital Association | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| Amanda Shwu-yi Loh Hunter | Physician Assistant | Valley View Hospital Association | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| Patrick Rudersdorf | Thoracic Surgery | Valley View Hospital Association | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| Joshua A Cross | Physician Assistant | Valley View Hospital Association | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| Bradley D Holmes | Internal Medicine | Valley View Hospital Association | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| Clinton Mark Anderson | Diagnostic Radiology | Mountain Radiology P C | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| Steven P Ross | Diagnostic Radiology | Mountain Radiology P C | 1906 Blake Ave, Glenwood Spgs, CO 81601-4227 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Ryan Zwelling | Optometry | Valley Vision PC | 904 Pitkin Ave, Glenwood Springs, CO 81601-3354 |
| William J Hoover | Optometry | 904 Pitkin Ave, Glenwood Springs, CO 81601-3354 | |
| Cheri L Barger | Clinical Social Worker | 812 Grand Ave, Suite 209, Glenwood Springs, CO 81601-3478 | |
| Karen A Church | Physical Therapy | 743 Palmer Ave, Glenwood Springs, CO 81601-3517 | |
| Drew Michael Taylor | Dermatology | Bella Derma Professional LLC | 919 Grand Ave, Glenwood Springs, CO 81601-3601 |
| Dorothy W Blankenship | Dermatology | Bella Derma Professional LLC | 919 Grand Ave, Glenwood Springs, CO 81601-3601 |
| Karen B Nern | Dermatology | Bella Derma Professional LLC | 919 Grand Ave, Glenwood Springs, CO 81601-3601 |
| Kirsten Barrett Kuhn | Physician Assistant | Bella Derma Professional LLC | 919 Grand Ave, Glenwood Springs, CO 81601-3601 |
| Julia D Kreger | Dermatology | Bella Derma Professional LLC | 919 Grand Ave, Glenwood Springs, CO 81601-3601 |
| Gail R Chapman | Chiropractic | 1317 Grand Ave, Suite 228, Glenwood Springs, CO 81601-3841 | |
| Find all physicians in zip 81601 | |||
| City | GLENWOOD SPGS |
| Zip Code | 81601 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GLENWOOD SPGS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jason M Dicarlo.
| 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.