COLORADO PERMANENTE MEDICAL GROUP, P.C. (NPI# 1184077133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184077133 |
Entity Type | Organization |
Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
Other Organization Name | KAISER PERMANENTE LONGMONT MEDICAL OFFICES |
Practice Address |
2345 Bent Way Longmont CO 80503-7614 |
Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
Practice Telephone | 3033384545 |
Mailing Telephone | 3033384545 |
Enumeration Date | 2016-07-14 |
Last Update Date | 2019-09-24 |
Authorized Official Name | MATTHEW S SPLINTER (CPMG CFO) |
Authorized Official Telephone | 3033447345 |
Is Organization Subpart | Y |
Parent Organization Name | COLORADO 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 Longmont 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 |
1083161152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 | 2016-09-07 |
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 |
Street Address |
2345 BENT WAY |
City | LONGMONT |
State | CO |
Zip Code | 80503-7614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043281777 | Alison Johanna Railsback | Family Medicine | 2345 Bent Way, Longmont, CO 80503-7614 | 2006-01-31 |
1306292511 | Robin Kotula | Nurse Practitioner | 2345 Bent Way, Longmont, CO 80503 | 2016-05-05 |
1316335151 | Tina Ann Huston | Registered Nurse | 2345 Bent Way, Longmont, CO 80503-7614 | 2015-01-01 |
1780083089 | Tracy Corcoran | Pharmacist | 2345 Bent Way, Longmont, CO 80503-7614 | 2014-08-22 |
1497170757 | Lindsey Roussil | Nurse Practitioner | 2345 Bent Way, Longmont, CO 80503-7614 | 2014-02-24 |
1568891539 | Jessica Yarnell | Registered Nurse | 2345 Bent Way, Longmont, CO 80503-7614 | 2013-11-11 |
1922360379 | Caroline Bonaire Schoo | Family Medicine | 2345 Bent Way, Longmont, CO 80503-7614 | 2012-06-12 |
1386918522 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 2345 Bent Way, Longmont, CO 80503-7614 | 2012-03-06 |
1194023887 | Justin J Springett | Physician Assistant | 2345 Bent Way, Longmont, CO 80503-7614 | 2011-03-04 |
1407161334 | Juliette Anne Epstein | Registered Nurse | 2345 Bent Way, Longmont, CO 80503-7614 | 2010-08-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073145025 | Home Care Colorado, LLC | In Home Supportive Care | 2919 17th Ave., Suite 215, Longmont, CO 80503 | 2020-02-07 |
1639644016 | Katherine and Charles Hover Greenhouses Inc | Skilled Nursing Facility | 1425 Belmont Dr, Longmont, CO 80503 | 2018-10-11 |
1467981993 | Donna Faye Georje Mchaney | Nurse Practitioner | 903 Reynolds Farm Lane, Longmont, CO 80503 | 2017-06-08 |
1972030161 | Advanced Vision Surgery Center LLC | Clinic/Center | 1390 Dry Creek Drive, Longmont, CO 80503 | 2017-05-18 |
1063958338 | Longmont Tc, LLC | Skilled Nursing Facility | 1960 South Fordham St, Longmont, CO 80503 | 2017-01-11 |
1710340211 | Rachel A Schreiber | Optometrist | 8900 Prairie Knoll Dr, Longmont, CO 80503 | 2016-04-01 |
1427368299 | Sally Anne Thompson | Specialist | 3664 Oakwood Drive, Longmont, CO 80503 | 2010-10-14 |
1124357082 | Penny Trevithick | Specialist | 8380 Hygiene Rd, Longmont, CO 80503 | 2009-12-23 |
1104155381 | Adrienne R. Leeds | Midwife | 1736 Clover Creek Dr, Longmont, CO 80503 | 2009-12-16 |
1003142928 | Sarah Jean Dubbe | Massage Therapist | 1690 Brown Court, Longmont, CO 80503 | 2009-10-28 |
Find all providers in zip 80503 |
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 |
---|---|---|---|---|
1700485372 | Boulder Community Health | Clinic/Center | 2101 Ken Pratt Blvd Ste 104h, Longmont, CO 80501-6568 | 2020-10-23 |
1578807889 | Carly Kirby, Inc. | Clinic/Center | 1551 Professional Ln Unit 220, Longmont, CO 80501-6964 | 2012-11-27 |
1003245861 | Good Life Acupuncture & Wellness Center, LLC | Clinic/Center | 1551 Professional Ln, Suite 180, Longmont, CO 80501-6972 | 2013-11-02 |
1083919526 | Longmont United Hospital | Clinic/Center | 1950 Mountain View Ave, Milestone Clinics, Longmont, CO 80501-3129 | 2011-01-13 |
1235371311 | Hansonhealth LLC | Clinic/Center | 630 15th Ave, Suite 102, Longmont, CO 80501-2700 | 2009-04-03 |
1639333651 | Tranquil Lotus Massage | Clinic/Center | 1508 Collyer St, Longmont, CO 80501-2820 | 2008-07-18 |
1235305525 | Family, Health, and Sports Chiropractic | Clinic/Center | 828 Kimbark St, Longmont, CO 80501-4913 | 2008-05-06 |
1619143260 | Harmony Healing Center | Clinic/Center | 619 Pratt St, Longmont, CO 80501-4931 | 2008-05-05 |
1255445417 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 2345 Bent Way, Longmont, CO 80503-7614 | 2006-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295334746 | Joel Allen Miller | Clinic/Center | 2125 Norwich Dr, Colorado Springs, CO 80920-5332 | 2020-10-25 |
1649879214 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201h, Erie, CO 80516-4072 | 2020-10-23 |
1285233882 | Boulder Community Health | Clinic/Center | 4745 Arapahoe Ave Ste 201, Boulder, CO 80303-1080 | 2020-10-23 |
1841899416 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 216a, Lafayette, CO 80026-2089 | 2020-10-23 |
1669079794 | Springfield Chiropractic LLC | Clinic/Center | 1302 S. Shields St., Suite A1-2, Fort Collins, CO 80521-4801 | 2020-10-01 |
1508470881 | San Luis Valley Community Mental Health Center | Clinic/Center | 260 Worth Street, Center, CO 81125 | 2020-09-03 |
1285248732 | San Luis Valley Community Mental Health Center | Clinic/Center | 409 Trinchera St, San Luis, CO 81152 | 2020-09-02 |
1629689658 | Yampa Valley Medical Center | Clinic/Center | 705 Marketplace Plz Ste 250, Steamboat Springs, CO 80487-1800 | 2020-08-13 |
1841817921 | Strive Health Pa LLC | Clinic/Center | 1600 Stout St Ste 2000, Denver, CO 80202-3113 | 2020-07-06 |
1790302776 | San Luis Valley Community Mental Health Center | Clinic/Center | 309 Beaubien Ave, Fort Garland, CO 81133 | 2020-06-25 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on COLORADO PERMANENTE MEDICAL GROUP, P.C..
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.