NORTH COLORADO SPINE CENTER, LLC (NPI# 1124225800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124225800 |
| Entity Type | Organization |
| Organization Name | NORTH COLORADO SPINE CENTER, LLC |
| Other Organization Name | NORTH COLORADO SPINE & ORTHOPAEDICS |
| Practice Address |
1624 17th Ave Greeley CO 80631-5129 |
| Practice Telephone | 9703535959 |
| Practice Fax Number | 9703535967 |
| Mailing Telephone | 9703535959 |
| Mailing Fax Number | 9703535967 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2010-03-25 |
| Authorized Official Name | SCOTT DHUPAR (PRESIDENT) |
| Authorized Official Telephone | 9703535959 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Colorado Spine & Orthopaedics | Doing Business As Name - Organization |
| Street Address |
1624 17TH AVE |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-5129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750305884 | Kimberly Townsend | Physician Assistant | 1624 17th Ave, Greeley, CO 80631-5129 | 2006-07-26 |
| 1710443148 | Deann Valdez-curtis | Counselor | 1624 17th Ave, Greeley, CO 80631-5129 | 2019-02-11 |
| 1720554074 | Herman Theodore Tearman | Counselor | 1624 17th Ave, Greeley, CO 80631-5129 | 2018-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255813671 | Catholic Health Initiatives Colorado | Orthopaedic Surgery | 314 South 6th Street, Montrose, CO 81401-5719 | 2018-09-01 |
| 1033617394 | Spine Cin of Denver LLC | Orthopaedic Surgery | 255 Union Blvd Ste 150-236, Lakewood, CO 80228-1810 | 2018-01-31 |
| 1225536584 | Joint Replacement Cin of Denver LLC | Orthopaedic Surgery | 255 Union Blvd Ste 150-237, Lakewood, CO 80228-1810 | 2018-01-31 |
| 1891200218 | Verus, LLC | Orthopaedic Surgery | 1685 S Colorado Blvd Ste 318, Denver, CO 80222-4000 | 2017-12-07 |
| 1962821777 | Shahbaaz Sabri | Orthopaedic Surgery | 12631 E 17th Ave Rm 4602, Aurora, CO 80045 | 2014-04-09 |
| 1497049753 | Larry Victor Lee | Orthopaedic Surgery | 15530 E Broncos Pkwy Unit 100, Centennial, CO 80112-7111 | 2011-06-04 |
| 1699070193 | Rocky Mountain Orthopedic Specialists | Orthopaedic Surgery | 5285 Mcwhinney Blvd Ste 140, Loveland, CO 80538-8707 | 2011-01-14 |
| 1295966307 | Christopher A Gallus | Orthopaedic Surgery | 9695 S Yosemite St Ste 255b, Lone Tree, CO 80124-2890 | 2009-08-06 |
| 1679742829 | R Shay Bess Md PC | Orthopaedic Surgery | Dept 2155, Denver, CO 80291-0001 | 2008-02-21 |
| 1912183625 | Robert Bess Md, Facs Orthopaedic Surgery Inc | Orthopaedic Surgery | 8500 Park Meadows Dr, Suite 210, Lone Tree, CO 80124-2742 | 2008-01-11 |
| Find all providers with the same taxonomy | ||||
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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.