DR. CHRISTOPHER R DRYSDALE (NPI# 1174620595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174620595 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER R DRYSDALE |
| Credential | M.D. |
| Practice Address |
4674 Snow Mesa Drive Ste 120 Fort Collins CO 80528 |
| Mailing Address |
4674 Snow Mesa Dr Suite 120 Fort Collins CO 80528-8615 |
| Practice Telephone | 9702663650 |
| Practice Fax Number | 9702663660 |
| Mailing Telephone | 9702663650 |
| Mailing Fax Number | 9702663660 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 42544 | CO | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 42544 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 56154798 | 05 |
| Street Address |
4674 SNOW MESA DRIVE STE 120 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427155845 | Med Peds Clinic of Fort Collins, LLC | Pediatrics | 4674 Snow Mesa Drive, Ste 120, Fort Collins, CO 80528 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053895169 | Anupama Anugraha Das | Pediatrics | 2938 Hearthstone Dr, Fort Collins, CO 80528-9124 | 2018-09-25 |
| 1336419530 | Pediatric Associates of Northern Colorado | Pediatrics | 1330 Oakridge Drive, Suite 100, Fort Collins, CO 80525 | 2012-01-04 |
| 1902066434 | Linda Geis | Pediatrics | 3401 Shore Rd, Fort Collins, CO 80524-1689 | 2008-06-09 |
| 1003966045 | Michael R Hobaugh | Pediatrics | 1330 Oakridge Dr., Ste 100, Pediatric Associates of Northern Colorado, Fort Collins, CO 80525 | 2007-01-11 |
| 1164518783 | Richard Rawson Booth | Pediatrics | 2001 S. Shields Street, Bldg G, Fort Collins, CO 80526 | 2006-10-04 |
| 1366550154 | Elizabeth Anne Wuerslin | Pediatrics | 1524 Rolf Ct, Fort Collins, CO 80525-1220 | 2006-08-29 |
| 1336111541 | Elizabeth A. Ballard | Pediatrics | 1200 E. Elizabeth St., Fort Collins, CO 80524-4007 | 2006-02-02 |
| 1184695892 | John P. Guenther | Pediatrics | 1200 E Elizabeth St, Fort Collins, CO 80524-4007 | 2006-01-30 |
| 1619577459 | Poudre Valley Medical Group, LLC | Pediatrics | 4674 Snow Mesa Dr Ste 200, Fort Collins, CO 80528-8614 | 2020-10-30 |
| 1508247156 | Adam Ploegman | Pediatrics | 4700 Lady Moon Dr, Fort Collins, CO 80528 | 2015-06-09 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
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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.