Thomas E Czajkowski (NPI# 1710220595, PAC ID# 5698907939) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1710220595 |
| PAC ID by PECOS | 5698907939 |
| Professional Enrollment ID | I20170720001767 |
| Full Name | Thomas E Czajkowski |
| Organization Legal Name | INNOVA EMERGENCY MEDICAL ASSOCIATES PC |
| Address |
410 Benedicta Ave Trinidad CO 81082-2005 |
| Phone Number | 7198469213 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2860633435 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151307 | ST. VINCENT WILLIAMSPORT HOSPITAL, INC. |
| 061321 | MT SAN RAFAEL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 410 Benedicta Ave, Trinidad, CO 81082-2005 | 7198469213 | INNOVA EMERGENCY MEDICAL ASSOCIATES PC |
| 412 N Monroe St, St Vincent Hospital, Williamsport, IN 47993-1049 | 8444666827 | IEMA INDIANA |
| Organization Legal Name | INNOVA EMERGENCY MEDICAL ASSOCIATES PC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacey L Mitchell | Nurse Practitioner | Innova Emergency Medical Associates PC | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Angela Renee York | Nurse Practitioner | Innova Emergency Medical Associates PC | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Andrew Rucker | Nurse Practitioner | Innova Emergency Medical Associates PC | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Adam G Dawson | Emergency Medicine | Innova Emergency Medical Associates PC | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Jimmie Mccraw | Nurse Practitioner | Innova Emergency Medical Associates PC | 1313 E 32nd St, Silver City, NM 88061-7251 |
| Ruth Bennett | Family Medicine | Innova Emergency Medical Associates PC | 1313 E 32nd St, Silver City, NM 88061-7251 |
| Janelle Estrada | Emergency Medicine | Innova Emergency Medical Associates PC | 1501 N Williamson Ave, Winslow, AZ 86047-2735 |
| Stefan A Merrill | Emergency Medicine | Innova Emergency Medical Associates PC | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Edward J Tognacci | Emergency Medicine | Innova Emergency Medical Associates PC | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Elisha Richard Bremmer | Emergency Medicine | Innova Emergency Medical Associates PC | 1501 N Williamson Ave, Winslow, AZ 86047-2735 |
| Street Address |
410 BENEDICTA AVE |
| City | TRINIDAD |
| State | CO |
| Zip | 81082-2005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Renee York | Nurse Practitioner | Innova Emergency Medical Associates PC | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| James M Glass | Interventional Cardiology | Trinidad Area Health Association | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Elizabeth Catherall | Internal Medicine | Trinidad Area Health Association | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| William J Bufkin | Diagnostic Radiology | 410 Benedicta Ave, Trinidad, CO 81082-2005 | |
| Timothy W Hegeman | Cardiovascular Disease (cardiology) | Trinidad Area Health Association | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Eric Michael Ball | Emergency Medicine | Innova Emergency Medical Associates PC | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Kevin L Mcclintock | Emergency Medicine | Trinidad Area Health Association | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Tamra R Mohs | Nurse Practitioner | Innova Emergency Medical Associates PC | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Peter Byers | Emergency Medicine | Innova Emergency Medical Associates PC | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Wissam Z Rhayem | Emergency Medicine | Innova Emergency Medical Associates PC | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen J Agnello | Occupational Therapy | Mariposa Rehabilitation Center Inc | 207 Main St, Trinidad, CO 81082 |
| Karen K Malone | Speech Language Pathologist | Mariposa Rehabilitation Center Inc | 207 Main St, Trinidad, CO 81082 |
| Valerie J Borsa | Internal Medicine | 409 Benedicta Ave, Suite A, Trinidad, CO 81082-2004 | |
| Abigail Norris | Family Medicine | Trinidad Area Health Association | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Valerie Ann Lecomte | Emergency Medicine | Innova Emergency Medical Associates PC | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Dyllon I Martini | Emergency Medicine | Innova Emergency Medical Associates PC | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Douglas Mcfarland | Family Medicine | Trinidad Area Health Association | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Christopher L Poland | Certified Registered Nurse Anesthetist | Trinidad Area Health Association | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| David L Blank | Certified Registered Nurse Anesthetist | Trinidad Area Health Association | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| George Hagen | Optometry | 1114 E Main St, Trinidad, CO 81082-2034 | |
| Find all physicians in zip 81082 | |||
| City | TRINIDAD |
| Zip Code | 81082 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | TRINIDAD + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Thomas E Czajkowski.
| 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.