COLORADO PERMANENTE MEDICAL GROUP, P.C. (NPI# 1083161152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083161152 |
| Entity Type | Organization |
| Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Other Organization Name | KAISER PERMANENTE FRISCO MEDICAL OFFICES |
| Practice Address |
226 Lusher Court Ste 104 Frisco CO 80443-7600 |
| Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | MATTHEW J SPLINTER (CPMG CFO) |
| Authorized Official Telephone | 3033447345 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORDO PERMANENTE MEDICAL GROUP, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04710083 | 05 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Frisco Medical Offices | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336775469 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 3920 N Union Blvd, Colorado Springs, CO 80907-4900 | 2020-03-20 |
| 1952937039 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 14701 E Exposition Ave, Aurora, CO 80012-2623 | 2020-03-20 |
| 1851927933 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2020-03-20 |
| 1669008744 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2020-03-20 |
| 1639641152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 2625 W Pueblo Blvd, Pueblo, CO 80014-5833 | 2018-12-21 |
| 1932655099 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 56 Edwards Village Blvd, Ste 208, Edwards, CO 81632-7802 | 2016-08-29 |
| 1487100541 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 215 S Parkside Dr, Ste 215, Colorado Springs, CO 80910-3131 | 2016-08-29 |
| 1205382363 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 1136 E Stuart St, Bldg 3, 2nd Floor, Fort Collins, CO 80525-1195 | 2016-08-29 |
| 1174079594 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 | 2016-08-26 |
| 1881140200 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 10168 Parkglenn Way, Parker, CO 80138-3868 | 2016-08-26 |
| Street Address |
226 LUSHER COURT STE 104 |
| City | FRISCO |
| State | CO |
| Zip Code | 80443-7600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770664690 | Marion E Bauer | Physician Assistant | 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 | 2006-10-18 |
| 1184075616 | Kimberly Blank | Registered Nurse | 226 Lusher Court, Frisco, CO 80443 | 2016-06-27 |
| 1558749713 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 | 2015-05-08 |
| 1144607417 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 226 Lusher Court, Suite 104, Frisco, CO 80443-7600 | 2015-05-06 |
| 1255467379 | Elizabeth Lazier Holtby | Physician Assistant | 226 Lusher Court, Frisco, CO 80443-7600 | 2007-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254215 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 340 Peak Oned Drive, Frisco, CO 80443 | 2020-10-30 |
| 1073139267 | Colorado Mountain Medical, LLC | Internal Medicine | 323 West Main Street, Suite 101, Frisco, CO 80443 | 2020-06-23 |
| 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 |
| Find all providers in zip 80443 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1902340565 | Doctx3 Pllc | Clinic/Center | 9500 Dallas Pkwy Ste 100, Frisco, TX 75033-4120 | 2016-12-15 |
| 1366805129 | P5 Performance Pllc | Clinic/Center | 9982 Crown Meadow Dr, Frisco, TX 75035-0328 | 2016-03-30 |
| 1457691248 | Pediatric People Pllc | Clinic/Center | 11955 Dallas Pkwy, Suite 400, Frisco, TX 75033-4293 | 2013-02-15 |
| 1477736338 | John B. Meiser, Md, Pa | Clinic/Center | 7002 Lebanon Road, Suite 103, Frisco, TX 75034 | 2007-12-13 |
| 1588211791 | Vail Clinic, Inc. | Clinic/Center | 360 Peak One Drive, Suite 370, Frisco, CO 80443 | 2019-08-22 |
| 1225595770 | Frisco Birth Center | Clinic/Center | 7258 Elm St, Frisco, TX 75034-5747 | 2019-02-20 |
| 1346783834 | K Dental Frisco | Clinic/Center | 3010 Legacy Dr, Suite 130, Frisco, TX 75034-6281 | 2016-12-01 |
| 1275075814 | Bundleborn Midwifery | Clinic/Center | 7258 Elm St, Suite A, Frisco, TX 75034-5747 | 2016-11-14 |
| 1295117554 | Prime Psychiatry P.a. | Clinic/Center | 8380 Warren Pkwy, Suite 602, Frisco, TX 75034-4198 | 2015-06-23 |
| 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.