Samantha Jo Pushchak
Internist Geriatric Medicine
850 E Harvard Ave Ste 305
Denver
, Colorado 80210-5076
Samantha Jo Pushchak
Internist Geriatric Medicine
850 E Harvard Ave Ste 305
Denver
, Colorado 80210-5076
(303) 306-4321
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Samantha Jo Pushchak
- 850 E Harvard Ave Ste 305
- Denver, CO
- Zip : 80210-5076
- Phone : (303) 306-4321
Second Address
- Samantha Jo Pushchak
- 850 E Harvard Ave Ste 305
- Denver, CO
- Zip : 80210-5076
- Phone : (303) 306-4321
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Is Samantha Jo Pushchak a sole practitioner?
Is Samantha Jo Pushchak accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | PA.0005852 | CO |
| Y | 111NI0900X | Internist | PA.0005852 | CO |
| N | 207RG0300X | Geriatric Medicine | PA.0005852 | CO |
National Provider Identifier
| NPI | 1043863285 |
|---|---|
| Provider Name | Samantha Jo Pushchak |
| First Address | Denver, CO 80210-5076 |
| Second Address | Denver, CO 80210-5076 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2019 |
| Last Update Date | 17/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.