Samir E Witta
MOUNTAIN BLUE CANCER CARE CENTER, PC


Address: 400 Indiana St, Suite 270, Golden, CO 80401-5069
Phone: 3039537400

Samir E Witta (NPI# 1013991678, PAC ID# 3971578550) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.

Physician Overview

Nation Provider ID (NPI) 1013991678
PAC ID by PECOS 3971578550
Professional Enrollment ID I20040827000362
Full Name Samir E Witta
Organization Legal Name MOUNTAIN BLUE CANCER CARE CENTER, PC
Address 400 Indiana St
Suite 270
Golden
CO 80401-5069
Phone Number 3039537400
Gender M
Credential MD
Graduation Year 1990
Primary Specialty HEMATOLOGY/ONCOLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 8022156132
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
060034 HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER
060015 CENTURA HEALTH-ST ANTHONY HOSPITAL
060014 PRESBYTERIAN ST LUKES MEDICAL CENTER
060009 LUTHERAN MEDICAL CENTER

Other Locations

Address Phone Organization
400 Indiana St, Suite 270, Golden, CO 80401-5069 3039537400 MOUNTAIN BLUE CANCER CARE CENTER, PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 100%
MIPS_EC_143_overall Oncology: Medical and Radiation - Pain Intensity Quantified 100%
MIPS_EC_144_overall Oncology: Medical and Radiation - Plan of Care for Pain 100%

Organization Information

Organization Legal Name MOUNTAIN BLUE CANCER CARE CENTER, PC
Physicians 1

Office Location

Street Address 400 INDIANA ST
SUITE 270
City GOLDEN
State CO
Zip 80401-5069

Physicians in the same location

Name Specialty Organization Address
Kathleen Y Sawada Dermatology Accent Dermatology and Laser Institute Pllc 400 Indiana St, Suite 390, Golden, CO 80401-5067
Emilio Claudio Calabrese General Surgery Colorado Surgical Service PC 400 Indiana St, Suite 200, Golden, CO 80401-5027
Caitlyn T Truong General Surgery Colorado Surgical Service PC 400 Indiana St, Suite 200, Golden, CO 80401-5027
Tracy A Haines Dermatology Accent Dermatology and Laser Institute Pllc 400 Indiana St, Suite 390, Golden, CO 80401-5067
Christopher A. Roseberry General Surgery Colorado Trauma Services PC 400 Indiana St, Suite 200, Golden, CO 80401-5027
Kristen Dorak Viehman Physician Assistant Comprehensive Pain Specialists Inc 400 Indiana St, Suite 320, Golden, CO 80401-5033
Eric Robert Mehlberg Anesthesiology Comprehensive Pain Specialists Inc 400 Indiana St, Suite 320, Golden, CO 80401-5033
Jennifer Marie Bocker General Surgery Colorado Trauma Services PC 400 Indiana St, Suite 200, Golden, CO 80401-5027
Robert A Hammer Obstetrics/gynecology Colorado Surgical Service PC 400 Indiana St, Suite 200, Golden, CO 80401-5027
Stephen T Huang Dermatology Accent Dermatology and Laser Institute Pllc 400 Indiana St, Suite 390, Golden, CO 80401-5067
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Physicians in the same zip code

Name Specialty Organization Address
Angelina Rose Espinosa Audiologist Hearing Rehabilitation Center Inc 2801 Youngfield St, Suite 100, Golden, CO 80401-0208
Kirk Werner Prochnio Physician Assistant Sports and Orthopedic Rehabilitation, Pllc 2801 Youngfield St, Suite 150, Golden, CO 80401-0209
Brooke Albert Physician Assistant Sports and Orthopedic Rehabilitation, Pllc 2801 Youngfield St, Suite 150, Golden, CO 80401-0209
Kyle C Morgan Physical Medicine and Rehabilitation Sports and Orthopedic Rehabilitation, Pllc 2801 Youngfield St, Suite 150, Golden, CO 80401-0209
Douglas E Hemler Physical Medicine and Rehabilitation Sports and Orthopedic Rehabilitation, Pllc 2801 Youngfield St, Suite 150, Golden, CO 80401-0209
Lee C Dimick Chiropractic 2801 Youngfield St, Suite 311, Golden, CO 80401-0210
Josi Amanda Wagner Berman Qualified Speech Language Pathologist 626 Golden Eagle Cir, Golden, CO 80401-0909
Joseph F Borden Optometry 1208 Washington Ave, Golden, CO 80401-1145
Kelley R Jackson Condon Optometry Table Mountain Vision Clinic PC 1409 Washington Ave, Golden, CO 80401-1917
Elizabeth A Peterson Optometry Table Mountain Vision Clinic PC 1409 Washington Ave, Golden, CO 80401-1917
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Competitor

Search similar physicians

City GOLDEN
Zip Code 80401
Specialty HEMATOLOGY/ONCOLOGY
City + Specialty GOLDEN + HEMATOLOGY/ONCOLOGY

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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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