PEDIATRIC ASSOCIATES OF NORTHERN COLORADO (NPI# 1336419530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336419530 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ASSOCIATES OF NORTHERN COLORADO |
| Practice Address |
1330 Oakridge Drive Suite 100 Fort Collins CO 80525 |
| Mailing Address |
1330 Oakridge Dr Suite 100 Fort Collins CO 80525 |
| Practice Telephone | 9704844871 |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2015-06-09 |
| Authorized Official Name | JENNIFER MARKLEY (OWNER/PEDITRICIAN) |
| Authorized Official Telephone | 9704844871 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
1330 OAKRIDGE DRIVE SUITE 100 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316584055 | Erin Zimbelman | Behavior Technician | 1330 Oakridge Drive, Suite 105, Fort Collins, CO 80525 | 2019-12-02 |
| 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 | 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 |
| 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 |
| 1093123481 | Pediatric Urgent Care of Northern Colorado | Pediatrics | 1214 Oak Park Dr, Fort Collins, CO 80525-7302 | 2014-07-29 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
Please comment or provide details below to improve the information on PEDIATRIC ASSOCIATES OF NORTHERN COLORADO.
| 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.