Jason Aminsharifi (NPI# 1679815757, PAC ID# 6204128184) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1679815757 |
| PAC ID by PECOS | 6204128184 |
| Professional Enrollment ID | I20180823002733 |
| Full Name | Jason Aminsharifi |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Address |
16222 W Us Hwy 24 210 Uchmg Woodland Park Outreach Woodland Park CO 80863-8763 |
| Phone Number | 7196301006 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9638208549 |
| Number of Group Practice Members | 1070 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061326 | PIKES PEAK REGIONAL HOSPITAL |
| 060022 | UCH-MEMORIAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 16222 W Us Hwy 24 210, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763 | 7196301006 | POUDRE VALLEY MEDICAL GROUP LLC |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Physicians | 1041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Henry Monkowski | Infectious Disease | Poudre Valley Medical Group LLC | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9089 |
| Nataliia A Baker | Family Medicine | Poudre Valley Medical Group LLC | 1455 Main St, Suite 100, Windsor, CO 80550-5559 |
| Stephanie Pivik Mager | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1715 61st Ave, Greeley, CO 80634-7989 |
| Kerri Alicia Madden | Physician Assistant | Poudre Valley Medical Group LLC | 4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432 |
| Alicia Vandersluis | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 6705 Rangewood Dr, Colorado Springs, CO 80918-7300 |
| Megan Leigh Kelly | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Mark Oscar Robinson | Family Medicine | Poudre Valley Medical Group LLC | 15854 Jackson Creek Pkwy, Unit 120, Monument, CO 80132-8663 |
| Kimberly Atiyeh | Otolaryngology | Poudre Valley Medical Group LLC | 16222 W Us Hwy 24 210, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763 |
| Adam Lee Kilkenney | Family Medicine | Poudre Valley Medical Group LLC | 5265 N Academy Blvd, Suite 1800, Colorado Springs, CO 80918-4061 |
| Marlesa Renee Moore | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1015 E Pikes Peak Ave, Suite 100, Colorado Springs, CO 80903-5700 |
| Street Address |
16222 W US HWY 24 210 UCHMG WOODLAND PARK OUTREACH |
| City | WOODLAND PARK |
| State | CO |
| Zip | 80863-8763 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Atiyeh | Otolaryngology | Poudre Valley Medical Group LLC | 16222 W Us Hwy 24 210, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763 |
| Todd P Thompson | Neurosurgery | Poudre Valley Medical Group LLC | 16222 W Us Hwy 24 210, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763 |
| Nikolaus T. Sneshkoff | Otolaryngology | Poudre Valley Medical Group LLC | 16222 W Us Hwy 24 210, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew C Young | Family Medicine | 16222 Hwy 24 200, Woodland Park, CO 80863 | |
| Michael G Messner | Orthopedic Surgery | 333 N W St, Woodland Park, CO 80863-0000 | |
| Ashlyn E Lanes | Chiropractic | Fountain Creek Chiropractic | 509 Scott Ave, Suite 2d, Woodland Park, CO 80863-1294 |
| James R Wiley | Chiropractic | Fountain Creek Chiropractic | 509 Scott Ave, Suite 2d, Woodland Park, CO 80863-1294 |
| James Lehman | Nurse Practitioner | 509 Scott Ave, Suite 101, Woodland Park, CO 80863-1294 | |
| Richard Harris | General Practice | 381 Rampart Range Rd, Woodland Park, CO 80863-2416 | |
| David K Powell Sr. | Chiropractic | Powell Chiropractic Inc | 490 Rampart Range Rd, Woodland Park, CO 80863-2429 |
| Matthew L Thessing | Physical Therapy | Serc of Woodland Park LLC | 406 E Grace Ave, Woodland Park, CO 80863-3127 |
| Ralph L Bidwell | Physical Therapy | Serc of Woodland Park LLC | 406 E Grace Ave, Woodland Park, CO 80863-3127 |
| Barbara A Batchelor | Clinical Social Worker | 321 W Henrietta St, Suite B, Woodland Park, CO 80863-3145 | |
| Find all physicians in zip 80863 | |||
| City | WOODLAND PARK |
| Zip Code | 80863 |
| Specialty | GENERAL SURGERY |
| City + Specialty | WOODLAND PARK + GENERAL SURGERY |
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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.