COLORADO MOUNTAIN MEDICAL, LLC (NPI# 1073139267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073139267 |
| Entity Type | Organization |
| Organization Name | COLORADO MOUNTAIN MEDICAL, LLC |
| Practice Address |
323 West Main Street Suite 101 Frisco CO 80443 |
| Mailing Address |
Po Box 4330 Avon CO 81620-4330 |
| Practice Telephone | 9709266340 |
| Practice Fax Number | 9709266348 |
| Mailing Telephone | 9708452903 |
| Mailing Fax Number | 9709266348 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | LISA KERSTIENS (PHYSICIAN RELATIONS MANAGER) |
| Authorized Official Telephone | 9708452903 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328320 | Colorado Mountain Medical, LLC | Counselor | 429 Edwards Access Rd Unit A207, Edwards, CO 81632-5559 | 2020-08-26 |
| 1467078014 | Colorado Mountain Medical, LLC | Clinic/Center | 108 S Frontage Rd W Ste 101, Vail, CO 81657-5087 | 2020-06-19 |
| 1598381154 | Colorado Mountain Medical, LLC | Internal Medicine | 322 Beard Creek Rd Ste 1300, Edwards, CO 81632-6426 | 2020-06-19 |
| 1730747445 | Colorado Mountain Medical, LLC | Obstetrics & Gynecology | 50 Buck Creek Road, Suite 200, Avon, CO 81620 | 2019-05-29 |
| 1063038073 | Colorado Mountain Medical, LLC | Counselor | 230 Chapel Place, Avon, CO 81620 | 2020-06-25 |
| 1215553227 | Colorado Mountain Medical, LLC | Counselor | 230 Chapel Place, Avon, CO 81620 | 2020-06-25 |
| 1215553409 | Colorado Mountain Medical, LLC | Dermatology | 377 Sylvan Lake Road, Suite 210, Eagle, CO 81631 | 2020-06-23 |
| 1417573619 | Colorado Mountain Medical, LLC | Clinic/Center | 377 Sylvan Lake Road, Suite 210, Eagle, CO 81631 | 2020-06-23 |
| 1508482159 | Colorado Mountain Medical, LLC | Internal Medicine | 108 S Frontage Rd W Ste 101, Vail, CO 81657-5087 | 2020-06-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Colorado Mountain Medical, LLC | 318 Broadway Street, Eagle, CO 81631 |
| Street Address |
323 WEST MAIN STREET SUITE 101 |
| City | FRISCO |
| State | CO |
| Zip Code | 80443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254215 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 340 Peak Oned Drive, Frisco, CO 80443 | 2020-10-30 |
| 1720611882 | Michael Shanser | Counselor | 101 West Main Suite 301, Frisco, CO 80443 | 2020-02-18 |
| 1407499205 | Kerri Hudgins | Dental Hygienist | 360 Peak One Drive, Suite 325, # 4337, Frisco, CO 80443 | 2019-10-24 |
| 1134762123 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Peak One Blvd, Ste 390, Frisco, CO 80443 | 2019-10-22 |
| 1881241172 | Shannon Maser | Chiropractor | 117 S. 6th Ave, Unit 2, Frisco, CO 80443 | 2019-08-21 |
| 1508421785 | Juli M Joyce | Preventive Medicine | 360 Peak One Dr #230, Frisco, CO 80443 | 2019-05-03 |
| 1194288449 | Sara Christian Broughton | Peer Specialist | 360 Peak One Dr Ste 130, Frisco, CO 80443 | 2019-04-12 |
| 1093275299 | Atis Spuris | Peer Specialist | 360 Peak One Dr Ste 140, Frisco, CO 80443 | 2019-03-22 |
| 1427520469 | Claire Melissa Mann | Nurse Practitioner | 984 Ten Mile Dr., Suite 3, Frisco, CO 80443 | 2018-12-31 |
| 1952876161 | Hannah Mcwhorter Olszewski | Counselor | 409 E Main St Suite 220 H, Frisco, CO 80443 | 2018-10-04 |
| Find all providers in zip 80443 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1225596018 | Malik M Ali LLC | Internal Medicine | 2003 Courtland Dr, Frisco, TX 75034-3634 | 2019-03-11 |
| 1457817017 | Smb Medical Pllc | Internal Medicine | 14123 Sorano Dr, Frisco, TX 75035-9293 | 2019-02-19 |
| 1457823718 | Amerihealth Consultant Pllc | Internal Medicine | 255 W Lebanon # 224, Frisco, TX 75036-3411 | 2018-12-27 |
| 1679057392 | Collin County Doctors, Pllc | Internal Medicine | 4760 Preston Rd Ste 244-305, Frisco, TX 75034-8548 | 2018-09-18 |
| 1962991612 | Stattollo | Internal Medicine | 12909 Rhinelander Dr, Frisco, TX 75033-0404 | 2018-05-08 |
| 1396250577 | North Dallas Healthcare Associates LLC | Internal Medicine | 4040 Legacy Dr Ste 104, Frisco, TX 75034-6748 | 2017-12-09 |
| 1588011753 | Moksh Medical Group | Internal Medicine | 6798 Martel Pl, Frisco, TX 75035-4856 | 2016-05-18 |
| Find all providers in FRISCO | ||||
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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.