BANNER GREELEY SPECIALISTS (NPI# 1154654804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154654804 |
| Entity Type | Organization |
| Organization Name | BANNER GREELEY SPECIALISTS |
| Practice Address |
300 Exempla Cir Suite 200 Lafayette CO 80026-3397 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9703784433 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |
| Authorized Official Name | DENNIS E DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447532908 | Banner Greeley Specialists | Clinic/Center | 710 11th Ave, Ste 106, Greeley, CO 80631-6405 | 2011-09-12 |
| 1386929198 | Banner Greeley Specialists | Clinic/Center | 5890 W 13th Street, Suite 114, Greeley, AZ 80634 | 2011-10-13 |
| 1609158724 | Banner Greeley Specialists | Clinic/Center | 1800 15th St, Ste 130, Greeley, CO 80631-4500 | 2011-09-14 |
| 1700167269 | Banner Greeley Specialists | Clinic/Center | 2400 Edison St, Brush, CO 80723-1640 | 2011-08-29 |
| 1649579673 | Banner Greeley Specialists | Clinic/Center | 2410 W 16th St, Greeley, CO 80634-6004 | 2011-03-16 |
| 1538471644 | Banner Greeley Specialists | Clinic/Center | 1300 Main St, Windsor, CO 80550-5989 | 2010-07-06 |
| 1831418995 | Banner Greeley Specialists | Clinic/Center | 2010 16th St, Ste A, Greeley, CO 80631-5162 | 2010-05-27 |
| 1659694743 | Banner Greeley Specialists | Clinic/Center | 5890 W 13th St, Ste 106, Greeley, CO 80634-4821 | 2010-03-04 |
| 1275869604 | Banner Greeley Specialists | Clinic/Center | 1800 15th St, Ste 100b, Greeley, CO 80631-4500 | 2009-10-20 |
| 1720312309 | Banner Greeley Specialists | Clinic/Center | 2923 Ginnala Dr, Loveland, CO 80538-2702 | 2009-09-29 |
| Street Address |
300 EXEMPLA CIR SUITE 200 |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-3397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063485936 | Ernest Edward Nitka | Psychiatry & Neurology | 300 Exempla Cir, Suite 230, Lafayette, CO 80026-3397 | 2006-02-09 |
| 1598379984 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 300 Exempla Cir, Lafayette, CO 80026-3397 | 2020-09-02 |
| 1821538174 | Lauren Elizabeth Hammer | Nurse Practitioner | 300 Exempla Cir, Suite 470, Lafayette, CO 80026-3397 | 2017-03-06 |
| 1952858185 | Heather Dunham | Nurse Practitioner | 300 Exempla Cir, Suite 420, Lafayette, CO 80026-3397 | 2016-09-06 |
| 1972927382 | Froc, PC | Orthopaedic Surgery | 300 Exempla Cir, Suite 200, Lafayette, CO 80026 | 2014-02-06 |
| 1518300367 | Sarah Braden White | Emergency Medicine | 300 Exempla Cir, #204, Lafayette, CO 80026-3397 | 2013-04-11 |
| 1144517947 | Katrina Marie Pack | Psychiatry & Neurology | 300 Exempla Cir, Suite 230, Lafayette, CO 80026-3397 | 2011-06-30 |
| 1700184322 | Lafayette Pediatrics and Internal Medicine | Clinic/Center | 300 Exempla Cir, Suite 420, Lafayette, CO 80026-3397 | 2011-03-06 |
| 1003120502 | Erik Berger | Internal Medicine | 300 Exempla Cir, Suite 300, Lafayette, CO 80026-3397 | 2010-07-27 |
| 1467608752 | Ncmc Specialty Clinic | Clinic/Center | 300 Exempla Cir, Suite 200, Lafayette, CO 80026-3397 | 2008-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1841577392 | Banner Health Physicians Colorado LLC | Clinic/Center | 300 Exempla Cir Ste 200, Lafayette, CO 80026-3391 | 2011-11-11 |
| 1063432524 | O E Reavill M D, Apmc | Clinic/Center | 2501 W Pinhook Rd, Lafayette, LA 70508-3346 | 2006-07-20 |
| 1053344093 | Diabetes Self-management Center, Inc. | Clinic/Center | 420 W Pinhook Rd, Suite A, Lafayette, LA 70503-2131 | 2006-07-09 |
| 1396742953 | Physical Medicine Center | Clinic/Center | 401 N College Rd, Ste 3&4, Lafayette, LA 70506-4263 | 2005-06-28 |
| 1790226611 | Checkup, LLC | Clinic/Center | 850 Kaliste Saloom Rd Ste 122, Lafayette, LA 70508-4230 | 2017-03-10 |
| 1306102884 | Acadiana Wound Clinic LLC | Clinic/Center | 850 N Pierce St, Suite C, Lafayette, LA 70501-2848 | 2012-04-09 |
| 1467608752 | Ncmc Specialty Clinic | Clinic/Center | 300 Exempla Cir, Suite 200, Lafayette, CO 80026-3397 | 2008-08-18 |
| 1487852026 | Townsend Recovery, LLC | Clinic/Center | 2600 Johnston St, Suite 110, Lafayette, LA 70503-3269 | 2007-07-05 |
| 1699885855 | Lhcg-xi, LLC | Clinic/Center | 913 S College Rd, Suite 100, Lafayette, LA 70503-3060 | 2006-08-30 |
| Find all providers in LAFAYETTE | ||||
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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.