DR. DANIEL BROOK JINICH (NPI# 1013928779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013928779 |
| Entity Type | Individual |
| Full Name | DR. DANIEL BROOK JINICH |
| Credential | MD |
| Practice Address |
2001 South Shields Bldg E Suite 201 Fort Collins CO 80526 |
| Practice Telephone | 9702219991 |
| Practice Fax Number | 9702219992 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
24687 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01246875 | 05 | |
| CO | RAILROAD MEDICARE | 080187244 | 01 |
| Street Address |
2001 SOUTH SHIELDS BLDG E SUITE 201 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306159256 | Katherine Roberta Johnson | Nurse Practitioner | 2001 South Shields, Building G, Fort Collins, CO 80526 | 2010-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598135451 | Front Range Clinic Inc. | Family Medicine | 1040 E Elizabeth St, Suite C, Fort Collins, CO 80524-3951 | 2015-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651480 | Scl Health Medical Group - Denver, LLC | Family Medicine | 2600 Campus Dr Ste A, Lafayette, CO 80026-3358 | 2020-08-28 |
| 1235753948 | Haven Clinic | Family Medicine | 1150 N 25th St Ste D, Grand Junction, CO 81501-6561 | 2020-05-29 |
| 1528606795 | Denver Recovery Group LLC | Family Medicine | 2531 Airport Rd, Colorado Springs, CO 80910-3119 | 2019-12-18 |
| 1598312241 | Denver Recovery Group LLC | Family Medicine | 72 E Arapahoe Rd, Littleton, CO 80122-8001 | 2019-08-19 |
| 1912554668 | Denver Recovery Group LLC | Family Medicine | 5330 Manhattan Cir Ste H, Boulder, CO 80303-4240 | 2019-08-19 |
| 1639739097 | Bryan Clifford Handwork | Family Medicine | 3004 Arapahoe Ave, Boulder, CO 80303-1017 | 2019-06-18 |
| 1376949867 | Colorado Professional Recovery Inc. | Family Medicine | 4990 Kipling St, Suite B-5, Wheat Ridge, CO 80033-6762 | 2014-11-10 |
| 1548564545 | Michael Arthur Schwartz | Family Medicine | 2205 Cordillera Way, Edwards, CO 81632-6290 | 2011-01-05 |
| 1528374873 | Yvonne M Nelson Md Pllc | Family Medicine | 4487 W 107th Pl, Westminster, CO 80031-7603 | 2010-08-24 |
| 1437762481 | Julia Catherine Wells | Family Medicine | 1600 Fish Hatchery Rd, Estes Park, CO 80517-9227 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.