COLORADO PERMANENTE MEDICAL GROUP, P.C. (NPI# 1205382363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205382363 |
| Entity Type | Organization |
| Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Other Organization Name | KAISER PERMANENTE SPRING CREEK MEDICAL OFFICES |
| Practice Address |
1136 E Stuart St Bldg 3, 2nd Floor Fort Collins CO 80525-1195 |
| Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | MATTHEW J 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 Spring Creek 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 |
| 1174079594 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 | 2016-08-26 |
| 1881140200 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 10168 Parkglenn Way, Parker, CO 80138-3868 | 2016-08-26 |
| Street Address |
1136 E STUART ST BLDG 3, 2ND FLOOR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-1195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627218 | Larry D Kieft | Specialist | 1136 E Stuart St, Ste 2100, Fort Collins, CO 80525-1197 | 2005-05-23 |
| 1073154563 | Mindworks Wellness | Nurse Practitioner | 1136 E Stuart St, Fort Collins, CO 80525-1195 | 2019-10-05 |
| 1306381868 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 1136 E Stuart St, Bldg 3, 2nd Floor, Fort Collins, CO 80525-1195 | 2016-12-19 |
| 1033652524 | Kaiser Foundation Health Plan of Colorado | Pharmacy | 1136 E Stuart St, Fort Collins, CO 80525-1195 | 2016-12-01 |
| 1679025068 | Agc In Home Services LLC | In Home Supportive Care | 1136 E Stuart St, Ste 4201, Fort Collins, CO 80525-1195 | 2016-11-01 |
| 1396197539 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 1136 E Stuart St, Bldg 3, 2nd Floor, Fort Collins, CO 80525-1195 | 2016-07-12 |
| 1679924625 | Scott Mcnairy | Dentist | 1136 E Stuart St, Suite 3140, Fort Collins, CO 80525-1195 | 2016-06-30 |
| 1245699933 | Diane Marie Frye | Massage Therapist | 1136 E Stuart St, Ste 4202, Fort Collins, CO 80525-1195 | 2016-02-23 |
| 1104297183 | Sterling Davis | Acupuncturist | 1136 E Stuart St, Fort Collins, CO 80525-1195 | 2015-10-15 |
| 1376914705 | Brittany Pritchard | Speech-Language Pathologist | 1136 E Stuart St, #3120, Fort Collins, CO 80525-1195 | 2015-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| 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 |
|---|---|---|---|---|
| 1669079794 | Springfield Chiropractic LLC | Clinic/Center | 1302 S. Shields St., Suite A1-2, Fort Collins, CO 80521-4801 | 2020-10-01 |
| 1952938045 | Vitality Medical Center | Clinic/Center | 3534 John F Kennedy Pkwy Ste B, Fort Collins, CO 80525-2668 | 2020-03-26 |
| 1689174245 | Dena Simmons, D.c., LLC | Clinic/Center | 105 Coronado Ct Ste B-102, Fort Collins, CO 80525-4924 | 2018-02-20 |
| 1568826550 | Schorsch Speech & Language | Clinic/Center | 204 Maple St Unit 406, Fort Collins, CO 80521-2080 | 2016-04-06 |
| 1750785036 | Practical Health Solutions, LLC | Clinic/Center | 310 E Elizabeth St, Fort Collins, CO 80524-3706 | 2014-10-15 |
| 1306145925 | Enlightenment Nutrition Consulting | Clinic/Center | 3131 Conestoga Ct, Fort Collins, CO 80526-2715 | 2011-03-22 |
| 1912052523 | Gregory A. Vosseteig P.C. | Clinic/Center | 2100 W Drake Rd, Suite 6, Fort Collins, CO 80526-1400 | 2007-01-24 |
| 1528156437 | Colorado State University | Clinic/Center | 8301 Campus Delivery, Fort Collins, CO 80523-8031 | 2006-10-10 |
| 1043329998 | Jan Hester Md PC | Clinic/Center | 1120 E Elizabeth #g1, Fort Collins, CO 80524 | 2006-08-30 |
| 1992335061 | Poudre Valley Medical Group, LLC | Clinic/Center | 1500 S Lemay Ave, Fort Collins, CO 80524-4262 | 2020-01-17 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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.