Jack Ryan Bagley (NPI# 1225355670, PAC ID# 5395048672) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1225355670 |
| PAC ID by PECOS | 5395048672 |
| Professional Enrollment ID | I20160120001242 |
| Full Name | Jack Ryan Bagley |
| Organization Legal Name | COLORADO WEST HEALTHCARE SYSTEM |
| Address |
2596 F Rd Grand Junction CO 81505-1443 |
| Phone Number | 9702543180 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 2010 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 3971491887 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060054 | COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2373 G Rd, Suite 200, Grand Junction, CO 81505-1006 | 9702433061 | COLORADO SURGICAL AFFILIATES LLC |
| 2596 F Rd, Grand Junction, CO 81505-1443 | 9702543180 | COLORADO WEST HEALTHCARE SYSTEM |
| Organization Legal Name | COLORADO WEST HEALTHCARE SYSTEM |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Frandsen | Radiation Oncology | Colorado West Healthcare System | 2596 F Rd, Grand Junction, CO 81505-1443 |
| Kathryn Tarman | Family Medicine | Colorado West Healthcare System | 2596 F Rd, Grand Junction, CO 81505-1443 |
| Grant Y Roper | Emergency Medicine | Colorado West Healthcare System | 2351 G Rd, Grand Junction, CO 81505-9641 |
| Tierney A Lake | Internal Medicine | Colorado West Healthcare System | 2351 G Rd, Grand Junction, CO 81505-9641 |
| Thomas R Tobin | Emergency Medicine | Colorado West Healthcare System | 2351 G Rd, Grand Junction, CO 81505-9641 |
| Diane Melancon | Medical Oncology | Colorado West Healthcare System | 2596 F Rd, Grand Junction, CO 81505-1443 |
| Lynda Steinbach | Nurse Practitioner | Colorado West Healthcare System | 2351 G Rd, Grand Junction, CO 81505-9641 |
| Jonathan D King | Hematology/oncology | Colorado West Healthcare System | 2596 F Rd, Grand Junction, CO 81505-1443 |
| Filip Babnic | Internal Medicine | Colorado West Healthcare System | 2351 G Rd, Grand Junction, CO 81505-9641 |
| Kristina Goutsouliak | Internal Medicine | Colorado West Healthcare System | 2596 F Rd, Grand Junction, CO 81505-1443 |
| Street Address |
2596 F RD |
| City | GRAND JUNCTION |
| State | CO |
| Zip | 81505-1443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Frandsen | Radiation Oncology | Colorado West Healthcare System | 2596 F Rd, Grand Junction, CO 81505-1443 |
| Kathryn Tarman | Family Medicine | Colorado West Healthcare System | 2596 F Rd, Grand Junction, CO 81505-1443 |
| Diane Melancon | Medical Oncology | Colorado West Healthcare System | 2596 F Rd, Grand Junction, CO 81505-1443 |
| Jonathan D King | Hematology/oncology | Colorado West Healthcare System | 2596 F Rd, Grand Junction, CO 81505-1443 |
| Kristina Goutsouliak | Internal Medicine | Colorado West Healthcare System | 2596 F Rd, Grand Junction, CO 81505-1443 |
| Andrea Liggett | Nurse Practitioner | Colorado West Healthcare System | 2596 F Rd, Grand Junction, CO 81505-1443 |
| Matthew M Langston | Interventional Pain Management | Colorado West Healthcare System | 2596 F Rd, Grand Junction, CO 81505-1443 |
| Nina G West | Physician Assistant | Colorado West Healthcare System | 2596 F Rd, Grand Junction, CO 81505-1443 |
| Joanne F Virgilio | Hematology/oncology | Colorado West Healthcare System | 2596 F Rd, Grand Junction, CO 81505-1443 |
| Sudy Md Jahangiri | Hematology/oncology | Colorado West Healthcare System | 2596 F Rd, Grand Junction, CO 81505-1443 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Allen Rexroth Jr. | Physician Assistant | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Katelyn Joy Weaver | Nurse Practitioner | Community Medical Group LLC | 2373 G Rd, Suite 160, Grand Junction, CO 81505-1003 |
| Kameron Watson | Physician Assistant | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Duane Lee Fenton | Physician Assistant | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| A'lanne Conrad | Physician Assistant | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Megan Charlene Sisk | Pulmonary Disease | Community Medical Group LLC | 2373 G Rd, Suite 160, Grand Junction, CO 81505-1003 |
| Kirk D Clifford | Orthopedic Surgery | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Daniel Craig Meister | Physical Therapy | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Mitchell T Copeland | Orthopedic Surgery | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Joshua David Thun | Podiatry | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Find all physicians in zip 81505 | |||
| City | GRAND JUNCTION |
| Zip Code | 81505 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | GRAND JUNCTION + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Jack Ryan Bagley.
| 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.