BANNER HEALTH PHYSICIANS COLORADO LLC (NPI# 1306185699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306185699 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH PHYSICIANS COLORADO LLC |
| Practice Address |
1017 W 7th St Wray CO 80758-1420 |
| Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
| Practice Telephone | 9703322225 |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | DENNIS LARAWAY (CFO) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER MEDICAL GROUP COLORADO |
| 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 |
|---|---|---|---|---|
| 1659882272 | Banner Health Physicians Colorado LLC | Clinic/Center | 7859 6th Street, Wellington, CO 80549 | 2017-10-23 |
| 1346794393 | Banner Health Physicians Colorado LLC | Clinic/Center | 1800 15th St Ste G10, Greeley, CO 80631-4595 | 2016-08-08 |
| 1568840742 | Banner Health Physicians Colorado LLC | Clinic/Center | 5890 W 13th St Ste 104, Greeley, CO 80634-4821 | 2015-05-08 |
| 1730598749 | Banner Health Physicians Colorado LLC | Clinic/Center | 2555 E 13th St Ste 230, Loveland, CO 80537-5133 | 2014-08-05 |
| 1972842607 | Banner Health Physicians Colorado LLC | Clinic/Center | 1405 S 8th Ave Ste 104, Sterling, CO 80751-4560 | 2013-01-31 |
| 1487918728 | Banner Health Physicians Colorado LLC | Clinic/Center | 6801 W 20th St Unit 201, Greeley, CO 80634-9640 | 2012-07-02 |
| 1376806711 | Banner Health Physicians Colorado LLC | Clinic/Center | 8201 Spinnaker Bay Dr Ste D, Windsor, CO 80528-7534 | 2012-06-20 |
| 1174884274 | Banner Health Physicians Colorado LLC | Clinic/Center | 608 E Harmony Rd Ste 101, Fort Collins, CO 80525-3210 | 2012-06-05 |
| 1942576061 | Banner Health Physicians Colorado LLC | Clinic/Center | 1900 Boise Ave Ste 300, Loveland, CO 80538-5004 | 2012-03-23 |
| 1487926903 | Banner Health Physicians Colorado LLC | Clinic/Center | 615 Fairhurst, Sterling, CO 80751-4523 | 2012-01-30 |
| Street Address |
1017 W 7TH ST |
| City | WRAY |
| State | CO |
| Zip Code | 80758-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205817855 | Oralee L Ekberg | Obstetrics & Gynecology | 1017 W 7th St, Wray, CO 80758-1420 | 2005-11-10 |
| 1942809777 | Pyper Lea Miller | Dietitian, Registered | 1017 W 7th St, Wray, CO 80758-1420 | 2020-10-22 |
| 1528682267 | Erin Marie Vieselmeyer | Physician Assistant | 1017 W 7th St, Wray, CO 80758-1420 | 2020-05-28 |
| 1518597137 | Poudre Valley Medical Group, LLC | Internal Medicine | 1017 W 7th St, Wray, CO 80758-1420 | 2020-01-23 |
| 1902454697 | Madison Harpenau | Occupational Therapist | 1017 W 7th St, Wray, CO 80758-1420 | 2019-08-27 |
| 1194216911 | Donna Marie Roberts | Nurse Practitioner | 1017 W 7th St, Wray, CO 80758-1420 | 2018-05-29 |
| 1225525058 | Michael Patrick Welch | Family Medicine | 1017 W 7th St, Wray, CO 80758-1420 | 2018-04-17 |
| 1508378423 | Nicolas A Mcduffee | Physician Assistant | 1017 W 7th St, Wray, CO 80758-1420 | 2017-11-01 |
| 1720437601 | Hal Richins Jr. | Family Medicine | 1017 W 7th St, Wray, CO 80758-1420 | 2016-06-10 |
| 1467809566 | Emily Rand | Family Medicine | 1017 W 7th St, Wray, CO 80758-1420 | 2016-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356998413 | Lisa Mae Arkulari | Technician | 537 Ellis Dr., Wray, CO 80758 | 2019-08-23 |
| 1649646134 | Leeann Schroeder | Counselor | 365 W. 2nd, Wray, CO 80758 | 2015-08-19 |
| 1720476369 | Karen Allison | Occupational Therapist | 320 Canyon Ridge Drive, Wray, CO 80758 | 2015-01-06 |
| 1881834521 | Renee Ruhlman | Counselor | 340 Sourth Birch Street, Wray, CO 80758 | 2009-02-20 |
| 1831375336 | Cedardale Health Care Centre, Inc. | Skilled Nursing Facility | 720 Clay Street, Wray, CO 80758 | 2008-01-14 |
| 1093831356 | Mark Mcdonald P.t., P.C. | Physical Therapist | 7th and Main, Wray, CO 80758 | 2007-03-21 |
| 1801986328 | Michael Lawler | Occupational Therapist | 7th Main, Wrac, Wray, CO 80758 | 2006-10-13 |
| 1912486820 | Wray Community District Hospital | Physical Therapist | 700 Main St, Wray, CO 80758 | 2018-08-10 |
| 1518234970 | Melvin Dustin Dunn | Chiropractor | 363 W 2nd St, Wray, CO 80758-1009 | 2011-11-29 |
| 1528208428 | Centennial Mental Health Center | Community/Behavioral Health | 365 W 2nd St, Wray, CO 80758-1009 | 2009-03-05 |
| Find all providers in zip 80758 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1932714714 | Silver Linings House Calls LLC | Clinic/Center | 5040 Shelby Dr, Castle Rock, CO 80104-5433 | 2020-09-09 |
| 1538774377 | Kremmling Memorial Hospital District | Clinic/Center | 1000 Granby Park South, Granby, CO 80446-8900 | 2020-09-09 |
| 1396356325 | Yampa Valley Medical Center | Clinic/Center | 940 Central Park Dr Ste 207, Steamboat Springs, CO 80487-8853 | 2020-08-13 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1609400407 | Pure Healthcare of Colorado LLC | Clinic/Center | 320 E Fontanero St Ste 103, Colorado Springs, CO 80907-7535 | 2020-03-02 |
| 1073146833 | Boulder Medical Center, P.C. | Clinic/Center | 89 S Briggs St Ste 105, Erie, CO 80516-4063 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
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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.