Richard Alan Knackendoffel (NPI# 1609823202, PAC ID# 7012049182) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1609823202 |
| PAC ID by PECOS | 7012049182 |
| Professional Enrollment ID | I20100726000322 |
| Full Name | Richard Alan Knackendoffel |
| Organization Legal Name | GRAND VALLEY ORTHOPEDICS |
| Address |
2373 G Rd Suite 100 Grand Junction CO 81505-1003 |
| Gender | M |
| Medical School | KANSAS CITY COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 1982 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8820353964 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060054 | COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 | GRAND VALLEY ORTHOPEDICS |
| Organization Legal Name | GRAND VALLEY ORTHOPEDICS |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Allen Rexroth Jr. | Physician Assistant | Grand Valley Orthopedics | 2373 G Rd, Suite 100, 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 |
| 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 |
| Christine M Zander | Occupational Therapy | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Julia Bricknell | Occupational Therapy | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Street Address |
2373 G RD SUITE 100 |
| City | GRAND JUNCTION |
| State | CO |
| Zip | 81505-1003 |
| 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 |
| Brad A Baldwin | General Surgery | Surgical Associates of Western Colorado, P.C. | 2373 G Rd, Suite 280, Grand Junction, CO 81505-1006 |
| Duane Lee Fenton | Physician Assistant | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Daniela J Schupp | General Surgery | Community Medical Group LLC | 2373 G Rd, Suite 280, Grand Junction, CO 81505-1006 |
| Kara A Danner | Obstetrics/gynecology | Community Medical Group LLC | 2373 G Rd, Suite 240, Grand Junction, CO 81505-1006 |
| 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 |
| Robert S Brooks | Cardiac Surgery | Community Medical Group LLC | 2373 G Rd, Suite 280, Grand Junction, CO 81505-1006 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Christine M Zander | Occupational Therapy | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Julia Bricknell | Occupational Therapy | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Louis S Stryker | Orthopedic Surgery | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| James C Rose | Orthopedic Surgery | Grand Valley Orthopedics | 2373 G Rd, Suite 100, Grand Junction, CO 81505-1003 |
| Brent Allen Woodson | Pulmonary Disease | Community Medical Group LLC | 2373 G Rd, Grand Junction, CO 81505-1003 |
| Jason Blain Bell | Physician Assistant | 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 | ORTHOPEDIC SURGERY |
| City + Specialty | GRAND JUNCTION + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Richard Alan Knackendoffel.
| 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.