Muthanna Yacoub (NPI# 1467834440, PAC ID# 9234441841) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
061326 | PIKES PEAK REGIONAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
700 W Us Hwy 24, Woodland Park, CO 80863-8975 | 7196878550 | DAVITA MEDICAL GROUP COLORADO SPRINGS, LLC |
Organization Legal Name | DAVITA MEDICAL GROUP COLORADO SPRINGS, LLC |
Physicians | 115 |
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 |
Street Address |
700 W US HWY 24 |
City | WOODLAND PARK |
State | CO |
Zip | 80863-8975 |
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 |
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 | FAMILY MEDICINE |
City + Specialty | WOODLAND PARK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Muthanna Yacoub.
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.