Gerald Kidd Iii (NPI# 1265552210, PAC ID# 4789603812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1265552210 |
| PAC ID by PECOS | 4789603812 |
| Professional Enrollment ID | I20141215001693 |
| Full Name | Gerald Kidd Iii |
| Organization Legal Name | DR ABBASS SHAFII M D P C |
| Address |
715 N Weber St Colorado Springs CO 80903-1092 |
| Phone Number | 7194736115 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6406746494 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060022 | UNIVERSITY COLO HEALTH MEMORIAL HOSPITAL CENTRAL |
| 060031 | CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES |
| Address | Phone | Organization |
|---|---|---|
| 715 N Weber St, Colorado Springs, CO 80903-1092 | 7194736115 | DR ABBASS SHAFII M D P C |
| 715 N Weber St, Suite 100, Colorado Springs, CO 80903-1092 | 7194736115 | DR ABBASS SHAFII M D P C |
| Organization Legal Name | DR ABBASS SHAFII M D P C |
| Physicians | 1 |
| Street Address |
715 N WEBER ST |
| City | COLORADO SPRINGS |
| State | CO |
| Zip | 80903-1092 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah R Collins | Physical Therapy | Rocky Mountain Rehabilitation P.C. | 711 N Tejon St, Suite 100, Colorado Springs, CO 80903-1011 |
| Edward B Belding | Physical Therapy | Rocky Mountain Rehabilitation P.C. | 711 N Tejon St, Suite 100, Colorado Springs, CO 80903-1011 |
| Lindsey A Swaim | Physical Therapy | Rocky Mountain Rehabilitation P.C. | 711 N Tejon St, Suite 100, Colorado Springs, CO 80903-1011 |
| Jeremy J Snyder | Physical Therapy | Rocky Mountain Rehabilitation P.C. | 711 N Tejon St, Suite 100, Colorado Springs, CO 80903-1011 |
| Roy L Hill | Psychologist, Clinical | 716 N Tejon St, Suite 7, Colorado Springs, CO 80903-1012 | |
| Honie B Crandall | Psychiatry | 10 E Monument St, Colorado Springs, CO 80903-1018 | |
| Dina Marie Buckey | Clinical Social Worker | 731 N Weber St, Suite 235, Colorado Springs, CO 80903-1019 | |
| Paul J Houge | Pediatric Medicine | Matthews-vu Medical Group, P.C. | 629 N Nevada Ave, Suite 110, Colorado Springs, CO 80903-1040 |
| Amy D Kammerzell | Nurse Practitioner | Matthews-vu Medical Group, P.C. | 629 N Nevada Ave, Suite 110, Colorado Springs, CO 80903-1040 |
| Emily L Maney | Clinical Social Worker | Matthews-vu Medical Group, P.C. | 629 N Nevada Ave, Suite 110, Colorado Springs, CO 80903-1040 |
| Find all physicians in zip 80903 | |||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COLORADO SPRINGS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Gerald Kidd Iii.
| 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.