JEUNESSE KATURA GRENOBLE FREDRICKSON
FOUR CORNERS OB/GYN

Address: 1 Mercado St, Suite 105, Durango, CO 81301-7311

JEUNESSE KATURA GRENOBLE FREDRICKSON (NPI# 1396035937, PAC ID# 8325279235) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1396035937
by National Plan and Provider Enumeration System (NPPES)
PECOS Associate Control (PAC) ID 8325279235
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20150921001800
Last Name FREDRICKSON
First Name JEUNESSE
Middle Name KATURA GRENOBLE
Gender F
Organization Legal Name FOUR CORNERS OB/GYN
Address 1 Mercado St
Suite 105
Durango
CO 81301-7311
Phone Number 9703828800
Medical School UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year 2011
Primary Specialty OBSTETRICS/GYNECOLOGY
Group Practice PAC ID 7416946629
Number of Group Practice Members 11
Professional Accepts Medicare Assignment Y
Group Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
060013 MERCY REGIONAL MEDICAL CENTER

Provider Overview

Nation Provider ID (NPI) 1396035937
by National Plan and Provider Enumeration System (NPPES)
Full Name JEUNESSE FREDRICKSON
Other Name JEUNESSE GRENOBLE
Taxonomy Code 207V00000X
Taxonomy Classification Obstetrics & Gynecology
Location 1 Mercado St., Ste. 105, Durango, CO 81301-7311

Organization Information

Organization Legal Name FOUR CORNERS OB/GYN

Physicians Physicians in the same organization

Name Specialty Organization Address
Nancy Rhien Physician Assistant Four Corners Ob/Gyn 1 Mercado St, Suite 105, Durango, CO 81301-7311
Marisa Brianne Todd Obstetrics/Gynecology Four Corners Ob/Gyn 1 Mercado St, Suite 105, Durango, CO 81301-7311
Kimberly Priebe Obstetrics/Gynecology Four Corners Ob/Gyn 1 Mercado St, Suite 105, Durango, CO 81301-7311
Mareca D Pallister Obstetrics/Gynecology Four Corners Ob/Gyn 1 Mercado St, Suite 105, Durango, CO 81301-7311
Betty J Lasich Obstetrics/Gynecology Four Corners Ob/Gyn 1 Mercado St, Suite 105, Durango, CO 81301-7311
Lauren D Melancon Nurse Practitioner Four Corners Ob/Gyn 1 Mercado St, Suite 105, Durango, CO 81301-7311
Jennifer Berarducci Obstetrics/Gynecology Four Corners Ob/Gyn 1 Mercado St, Suite 105, Durango, CO 81301-7311
Megan M Palmer Obstetrics/Gynecology Four Corners Ob/Gyn 1 Mercado St, Suite 105, Durango, CO 81301-7311
Aimee S Birgenheier Nurse Practitioner Four Corners Ob/Gyn 1 Mercado St, Suite 105, Durango, CO 81301-7311
Sara E Whitehead Physician Assistant Four Corners Ob/Gyn 1 Mercado St, Suite 105, Durango, CO 81301-7311
Find all physicians in the same organization

Office Location

Street Address 1 MERCADO ST
SUITE 105
City DURANGO
State CO
Zip Code 81301-7311

Physicians in the same location

Name Specialty Organization Address
Betty J Lasich Obstetrics/Gynecology Four Corners Ob/Gyn 1 Mercado St, Suite 105, Durango, CO 81301-7311
Douglas Orndorff Orthopedic Surgery Spine Colorado PC 1 Mercado St, Suite 200, Durango, CO 81301-7308
Lexi K Querio Physician Assistant Total Healthcare 1 Mercado St, Suite 160, Durango, CO 81301-7309
Kane L Anderson Hand Surgery Spine Colorado PC 1 Mercado St, Suite 200, Durango, CO 81301-7308
Marisa Brianne Todd Obstetrics/Gynecology Four Corners Ob/Gyn 1 Mercado St, Suite 105, Durango, CO 81301-7311
Aimee S Birgenheier Nurse Practitioner Four Corners Ob/Gyn 1 Mercado St, Suite 105, Durango, CO 81301-7311
Cyril Bohachevsky Physical Medicine and Rehabilitation Spine Colorado PC 1 Mercado St, Suite 200, Durango, CO 81301-7308
Kimberly Priebe Obstetrics/Gynecology Four Corners Ob/Gyn 1 Mercado St, Suite 105, Durango, CO 81301-7311
April Marie Coates Nurse Practitioner Total Healthcare 1 Mercado St, Suite 160, Durango, CO 81301-7309
Sara E Whitehead Physician Assistant Four Corners Ob/Gyn 1 Mercado St, Suite 105, Durango, CO 81301-7311
Find all in the same location

Physicians in the same zip code prefix

Name Specialty Organization Address
Bethany C Glotfelty Physician Assistant Digestive Health Associates A Professional Corporation 2 Burnett Ct, Suite 100, Durango, CO 81301-3647
Landon E Lavene Physical Therapy Advantage Physical Therapy and Wellness, PC 3600 Main Ave, Suite A, Durango, CO 81301-4082
David W Mcilwain Physical Therapy Advantage Physical Therapy and Wellness, PC 3600 Main Ave, Suite A, Durango, CO 81301-4082
Laura E Parker Nurse Practitioner Digestive Health Associates A Professional Corporation 2 Burnett Ct, Suite 100, Durango, CO 81301-3647
Kory L Williams Physician Assistant Digestive Health Associates A Professional Corporation 2 Burnett Ct, Durango, CO 81301-3647
Stuart B Saslow Gastroenterology Digestive Health Associates A Professional Corporation 2 Burnett Ct, Suite 100, Durango, CO 81301-3647
Randall Moore Certified Registered Nurse Anesthetist (crna) Animas Anesthesia Associates LLC 2 Burnett Ct, Durango, CO 81301-3647
Jonathan R Fox Physician Assistant Cottonwood Holistic Family Health 3600 Main Ave, Suite C, Durango, CO 81301-4082
Danny E Mccarty Certified Registered Nurse Anesthetist (crna) Animas Anesthesia Associates LLC 2 Burnett Ct, Durango, CO 81301-3647
Susan F. Sanders Dermatology 3649 Main Ave, Durango, CO 81301-4030
Find all in zip 81301

Competitor

Search similar physicians

City DURANGO
Zip Code 81301
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty DURANGO + OBSTETRICS/GYNECOLOGY

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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.