Muthanna Yacoub
DAVITA MEDICAL GROUP COLORADO SPRINGS, LLC


Address: 700 W Us Hwy 24, Woodland Park, CO 80863-8975
Phone: 7196878550

Muthanna Yacoub (NPI# 1467834440, PAC ID# 9234441841) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1467834440
PAC ID by PECOS 9234441841
Professional Enrollment ID I20190709000089
Full Name Muthanna Yacoub
Organization Legal Name DAVITA MEDICAL GROUP COLORADO SPRINGS, LLC
Address 700 W Us Hwy 24
Woodland Park
CO 80863-8975
Phone Number 7196878550
Gender M
Medical School UNIVERSITY OF IOWA COLLEGE OF MEDICINE
Graduation Year 2015
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 2769706431
Number of Group Practice Members 93
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
061326 PIKES PEAK REGIONAL HOSPITAL

Other Locations

Address Phone Organization
700 W Us Hwy 24, Woodland Park, CO 80863-8975 7196878550 DAVITA MEDICAL GROUP COLORADO SPRINGS, LLC

Organization Information

Organization Legal Name DAVITA MEDICAL GROUP COLORADO SPRINGS, LLC
Physicians 115

Physicians with the same organization

Name Specialty Organization Address
Geoffrey Fung-soon Lim Dermatology Davita Medical Group Colorado Springs, LLC 1633 Medical Ctr Pt, Colorado Springs, CO 80907-5700
Megan L Bartusek Nurse Practitioner Davita Medical Group Colorado Springs, LLC 2020 W Colorado Ave, Suite 100, Colorado Springs, CO 80904-3863
Crystal Bw Evig Obstetrics/gynecology Davita Medical Group Colorado Springs, LLC 2405 Research Pkwy, Colorado Springs, CO 80920-1044
John Kunstle Family Medicine Davita Medical Group Colorado Springs, LLC 6340 Barnes Rd, Colorado Springs, CO 80922-2602
Steven E Boynton Family Medicine Davita Medical Group Colorado Springs, LLC 5115 Fontaine Blvd, Fountain, CO 80817-1061
Michael J Hemsworth Family Medicine Davita Medical Group Colorado Springs, LLC 2610 Tenderfoot Hill St, Colorado Springs, CO 80906-3981
Bonnye W Garman Physician Assistant Davita Medical Group Colorado Springs, LLC 1625 Medical Ctr Pt, Colorado Springs, CO 80907-5748
Richard A Miller Family Medicine Davita Medical Group Colorado Springs, LLC 1625 Medical Ctr Pt, Colorado Springs, CO 80907-5748
Christopher R Mcnulty Family Medicine Davita Medical Group Colorado Springs, LLC 1633 Medical Ctr Pt, Colorado Springs, CO 80907-5700
Lara R Morris Physician Assistant Davita Medical Group Colorado Springs, LLC 1625 Medical Ctr Pt, Colorado Springs, CO 80907-5748

Office Location

Street Address 700 W US HWY 24
City WOODLAND PARK
State CO
Zip 80863-8975

Physicians in the same location

Name Specialty Organization Address
Casie L Chen Family Medicine Davita Medical Group Colorado Springs, LLC 700 W Us Hwy 24, Woodland Park, CO 80863-8975
Scott D Cameron Family Practice Davita Medical Group Colorado Springs, LLC 700 W Us Hwy 24, Woodland Park, CO 80863-8975

Physicians in the same zip code

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

Competitor

Search similar physicians

City WOODLAND PARK
Zip Code 80863
Specialty FAMILY MEDICINE
City + Specialty WOODLAND PARK + FAMILY MEDICINE

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Dataset Information

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.

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