Kenneth B Washburn (NPI# 1033196316, PAC ID# 4587729793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1033196316 |
| PAC ID by PECOS | 4587729793 |
| Professional Enrollment ID | I20090220000548 |
| Full Name | Kenneth B Washburn |
| Organization Legal Name | SCL HEALTH MEDICAL GROUP-GRAND JUNCTION LLC |
| Address |
2686 Patterson Rd Grand Junction CO 81506-8817 |
| Phone Number | 9702986005 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1961 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 3779707856 |
| Number of Group Practice Members | 88 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060023 | ST MARYS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2686 Patterson Rd, Grand Junction, CO 81506-8817 | 9702986005 | SCL HEALTH MEDICAL GROUP-GRAND JUNCTION LLC |
| Organization Legal Name | SCL HEALTH MEDICAL GROUP-GRAND JUNCTION LLC |
| Physicians | 116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Stephen | Nurse Practitioner | Scl Health Medical Group-grand Junction LLC | 627 25, Grand Junction, CO 81505-6401 |
| Connie Ela Lupe Joy Billones Bongar | Nurse Practitioner | Scl Health Medical Group-grand Junction LLC | 2686 Patterson Rd Entrance, 41 Occupational Health, Grand Junction, CO 81506-8817 |
| Stephen J Frank | Medical Oncology | Scl Health Medical Group-grand Junction LLC | 750 Wellington Ave, Grand Junction, CO 81501-6132 |
| Charles F Mathews | Physician Assistant | Scl Health Medical Group-grand Junction LLC | 1050 Wellington Ave, Grand Junction, CO 81501-8121 |
| Summer D Long | Physician Assistant | Scl Health Medical Group-grand Junction LLC | 2440 N 11st St, St Mary's Metabolic and Bariatric Surgery Center, Grand Junction, CO 81501-8102 |
| Henry L Galan | Obstetrics/gynecology | Scl Health Medical Group-grand Junction LLC | 610 25 Rd, Grand Junction, CO 81505-1202 |
| Gregory A Freshwater | Physician Assistant | Scl Health Medical Group-grand Junction LLC | 1050 Wellington Ave, Grand Junction, CO 81501-8121 |
| James W Thompson | Pulmonary Disease | Scl Health Medical Group-grand Junction LLC | 1050 Wellington Ave, Lung and Sleep Center, Grand Junction, CO 81501-8121 |
| Rakhat I Ashymov | Physician Assistant | Scl Health Medical Group-grand Junction LLC | 1050 Wellington Ave, Grand Junction, CO 81501-8121 |
| Justin Walpole | Vascular Surgery | Scl Health Medical Group-grand Junction LLC | 1050 Wellington Ave, Grand Junction, CO 81501-8121 |
| Street Address |
2686 PATTERSON RD |
| City | GRAND JUNCTION |
| State | CO |
| Zip | 81506-8817 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter J Hoffman | Ophthalmology | Hoffman Eye Care PC | 2643 Patterson Rd, Suite 405, Grand Junction, CO 81506-1910 |
| Jeffrey S Midgley | Chiropractic | 2648 Patterson Rd, Suite B, Grand Junction, CO 81506-1931 | |
| Missiouri D Mccoy | Nurse Practitioner | Scl Health Medical Group-grand Junction LLC | 2643 Patterson Rd, Grand Junction, CO 81506-1936 |
| Hoang Chau Thi Nguyen | Thoracic Surgery | Scl Health Medical Group-grand Junction LLC | 2643 Patterson Rd, Grand Junction, CO 81506-1936 |
| Katrina Metcalf | Nurse Practitioner | Western Slope Cardiology, PC | 2643 Patterson Rd, Suite 605, Grand Junction, CO 81506-1937 |
| James A Merrell | Otolaryngology | Colorado West Otolaryngologists PC | 2643 Patterson Rd, Suite 503, Grand Junction, CO 81506-1937 |
| Erick Araneda | Cardiovascular Disease (cardiology) | Western Slope Cardiology, PC | 2643 Patterson Rd, Suite 605, Grand Junction, CO 81506-1937 |
| Matthew R Swelstad | Plastic and Reconstructive Surgery | Colorado West Otolaryngologists PC | 2643 Patterson Rd, Suite 503, Grand Junction, CO 81506-1937 |
| Daniel J Duffey | Cardiovascular Disease (cardiology) | Western Slope Cardiology, PC | 2643 Patterson Rd, Suite 605, Grand Junction, CO 81506-1937 |
| Shea Fetherston | Physician Assistant | Colorado West Otolaryngologists PC | 2643 Patterson Rd, Suite 503, Grand Junction, CO 81506-1937 |
| Find all physicians in zip 81506 | |||
| City | GRAND JUNCTION |
| Zip Code | 81506 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | GRAND JUNCTION + PHYSICAL MEDICINE AND REHABILITATION |
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| 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.