COLORADO PERMANENTE MEDICAL GROUP, P.C.


Address: 2345 Bent Way, Longmont, CO 80503-7614
Phone: 3033384545

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).

Provider Overview

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.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center CO Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 04710083 05

Other Provider/Organization Names

Other Name Type Code
Kaiser Permanente Longmont Medical Offices Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 2345 BENT WAY
City LONGMONT
State CO
Zip Code 80503-7614

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City LONGMONT
Zip Code 80503

Improve Information

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Dataset Information

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.

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