SOUTH POINTE OCCUPATIONAL MEDICINE AND FAMILY PRACTICE LLC (NPI# 1396052544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396052544 |
Entity Type | Organization |
Organization Name | SOUTH POINTE OCCUPATIONAL MEDICINE AND FAMILY PRACTICE LLC |
Practice Address |
380 Empire Rd Suite 120 Lafayette CO 80026-2677 |
Mailing Address |
380 Empire Rd Suite #120 Lafayette CO 80026-2677 |
Practice Telephone | 9703512412 |
Mailing Telephone | 3036658444 |
Enumeration Date | 2010-09-09 |
Last Update Date | 2017-12-04 |
NPI Deactivation Date | 11/28/2017 |
NPI Reactivation Date | 2017-12-04 |
Authorized Official Name | DR. GREGORY D DENZEL (OWNER) |
Authorized Official Telephone | 9703512412 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
32068 | CO | Ambulatory Health Care Facilities |
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
32068 | CO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 01320688 | 05 |
Street Address |
380 EMPIRE RD SUITE 120 |
City | LAFAYETTE |
State | CO |
Zip Code | 80026-2677 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508979949 | Paradigm Physical Therapy LLC | Physical Therapist | 380 Empire Rd, Suite 230, Lafayette, CO 80026-2677 | 2006-08-17 |
1285139782 | Hanna Christine Gustafsson | Physical Therapist | 380 Empire Rd, Lafayette, CO 80026-2677 | 2018-03-27 |
1326413535 | South Pointe Chiropractic | Chiropractor | 380 Empire Rd, Ste 120, Lafayette, CO 80026-2677 | 2015-12-14 |
1508297466 | Jennifer George Reed | Nurse Practitioner | 380 Empire Rd, #120, Lafayette, CO 80026-2677 | 2013-12-03 |
1689981839 | Southpoint Urgent Care LLC | Clinic/Center | 380 Empire Rd, Suite 120, Lafayette, CO 80026-2677 | 2010-09-09 |
1285969881 | Wesley Michael Cavanaugh | Chiropractor | 380 Empire Rd, Suite 101, Lafayette, CO 80026-2677 | 2009-10-15 |
1083846398 | Megan Leigh Moon | Chiropractor | 380 Empire Rd, Lafayette, CO 80026-2677 | 2009-08-20 |
1578794913 | Eric Lawrence St.pierre | Chiropractor | 380 Empire Rd, Suite # 101, Lafayette, CO 80026-2677 | 2009-08-03 |
1033340740 | Paul Kenneth Branch | Family Medicine | 380 Empire Rd, #120, Lafayette, CO 80026-2677 | 2009-07-29 |
1215172523 | Colorado Back and Spine Center | Clinic/Center | 380 Empire Rd, Suite 101, Lafayette, CO 80026-2677 | 2008-12-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
Find all providers in zip 80026 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1124674932 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 214, Lafayette, CO 80026-2089 | 2019-08-16 |
1235601105 | Wellness for Life | Clinic/Center | 3000 S 9th St Ste B, Lafayette, IN 47909-6702 | 2018-12-17 |
1881148583 | Wecare Tlc - Tsc Lsc Health and Wellness South | Clinic/Center | 3000 S 9th St, Suite B, Lafayette, IN 47909-6702 | 2016-08-10 |
1164976866 | Wecare Tlc - Tsc Lsc Health and Wellness North | Clinic/Center | 2529 Schuyler Ave, Suite 700, Lafayette, IN 47905-3979 | 2016-08-10 |
1528351574 | Kirk F Knecht LLC | Clinic/Center | 213 Fourpark Rd Ste C, Lafayette, LA 70507-2481 | 2011-05-24 |
1841315421 | Cureshe, Inc | Clinic/Center | 107 Carrollton Cir, Lafayette, LA 70503-5842 | 2007-03-20 |
1609967900 | Kirtland Dana Swan | Clinic/Center | 113 Saint Thomas St Ste A, Lafayette, LA 70506-4575 | 2006-09-28 |
1497302871 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 110, Lafayette, CO 80026-2753 | 2019-08-21 |
1336611201 | Wellness for Life | Clinic/Center | 2529 Schuyler Ave, Lafayette, IN 47905-3979 | 2018-12-17 |
1730670092 | Callie Medical Group LLC | Clinic/Center | 200 Highway 52 Byp E Ste D, Lafayette, TN 37083-1356 | 2018-05-22 |
Find all providers in LAFAYETTE |
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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.