John Giles Prucha (NPI# 1700204567, PAC ID# 6709179989) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700204567 |
| PAC ID by PECOS | 6709179989 |
| Professional Enrollment ID | I20180830003286 |
| Full Name | John Giles Prucha |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Address |
13631 Colorado Blvd Thornton CO 80602-7051 |
| Phone Number | 3032522960 |
| Gender | M |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9638208549 |
| Number of Group Practice Members | 1070 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060024 | UNIVERSITY OF COLORADO HOSPITAL AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 13631 Colorado Blvd, Thornton, CO 80602-7051 | 3032522960 | 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 |
13631 COLORADO BLVD |
| City | THORNTON |
| State | CO |
| Zip | 80602-7051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorraine M Malonson | Physician Assistant | Poudre Valley Medical Group LLC | 13631 Colorado Blvd, Thornton, CO 80602-7051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charleanea M. Arellano | Psychologist, Clinical | 12687 Locust Way, Thornton, CO 80602-4664 | |
| Robert E Bridge Jr. | Chiropractic | 13762 Colorado Blvd, Unit 122, Thornton, CO 80602-6919 | |
| Elizabeth Roebuck | Nurse Practitioner | The Little Clinic of Colorado LLC | 13700 Colorado Blvd, Thornton, CO 80602-7024 |
| Nicole Gamache | Nurse Practitioner | The Little Clinic of Colorado LLC | 13700 Colorado Blvd, Thornton, CO 80602-7024 |
| Julie Anne Schwent | Nurse Practitioner | The Little Clinic of Colorado LLC | 13700 Colorado Blvd, Thornton, CO 80602-7024 |
| Melissa Catherine Vanray | Optometry | Vista Eye Care, PC | 13695 Colorado Blvd, Thornton, CO 80602-7051 |
| Brian C Abert | Optometry | Vista Eye Care, PC | 13695 Colorado Blvd, Thornton, CO 80602-7051 |
| Jami Swenson | Optometry | Vista Eye Care, PC | 13695 Colorado Blvd, Thornton, CO 80602-7051 |
| Deanna M Pedroza | Optometry | Vista Eye Care, PC | 13695 Colorado Blvd, Thornton, CO 80602-7051 |
| Suzanne M Mcclain | Optometry | Vista Eye Care, PC | 13695 Colorado Blvd, Thornton, CO 80602-7051 |
| Find all physicians in zip 80602 | |||
| City | THORNTON |
| Zip Code | 80602 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | THORNTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John Giles Prucha.
| 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.