DOUGLAS PENN HORNBERGER (NPI# 1447339536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447339536 |
| Entity Type | Individual |
| Full Name | DOUGLAS PENN HORNBERGER |
| Credential | P.A. |
| Practice Address |
3850 Grant Ave Ste 200 Loveland CO 80538-8431 |
| Mailing Address |
1106 E Prospect Rd Suite 100 Fort Collins CO 80525-5304 |
| Practice Telephone | 9706245170 |
| Practice Fax Number | 9706697521 |
| Mailing Telephone | 9704824373 |
| Mailing Fax Number | 9704845682 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2018-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2158 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2158 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 65356276 | 05 |
| Street Address |
3850 GRANT AVE STE 200 |
| City | LOVELAND |
| State | CO |
| Zip Code | 80538-8431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689961 | Poudre Valley Medical Group, LLC | Clinic/Center | 3850 Grant Ave Ste 200, Loveland, CO 80538-8431 | 2020-11-04 |
| 1710438528 | Deanna Long | Physician Assistant | 3850 Grant Ave Ste 200, Loveland, CO 80538-8431 | 2016-10-17 |
| 1407211337 | Laura Nehoda | Nurse Practitioner | 3850 Grant Ave Ste 200, Loveland, CO 80538 | 2015-12-18 |
| 1982813093 | Jill Amanda Hartman | Physician Assistant | 3850 Grant Ave Ste 200, Loveland, CO 80538-8431 | 2007-05-22 |
| 1558578336 | Frank R Borzager | Physician Assistant | 3850 Grant Ave Ste 200, Loveland, CO 80538 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332385 | Jocelyn Stott | Social Worker | 1611 N Estrella Avenue, Loveland, CO 80538 | 2020-10-02 |
| 1184234049 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 383 W. 37th St., Ste. 104, Loveland, CO 80538 | 2020-08-05 |
| 1578102752 | Shela Wagner | Student in an Organized Health Care Education/Training Program | 2603 North Monroe Ave, Loveland, CO 80538 | 2020-01-05 |
| 1184261901 | Sierra Compton | Behavior Technician | 2906 Ginnala Drive, Loveland, CO 80538 | 2019-12-01 |
| 1497306138 | Warrior Diagnostics, Inc. | Clinical Medical Laboratory | 6215 Aviation Cir., Loveland, CO 80538 | 2019-09-24 |
| 1093372625 | Kimberly Ann Boogaerts | Behavior Technician | 1437 North Denver Ave Ste 237, Loveland, CO 80538 | 2019-05-20 |
| 1033676101 | Hero Vision of Loveland, LLC | Optometrist | 3515 Mountain Lion Drive, Loveland, CO 80538 | 2019-02-26 |
| 1225509201 | Mbbk Consulting Inc. | Day Training, Developmentally Disabled Services | 4115 Georgetown Drive, Loveland, CO 80538 | 2018-12-17 |
| 1457833808 | Judy A Elliott | Speech-Language Pathologist | 3232 Williamsburg St, Loveland, CO 80538 | 2018-09-02 |
| 1245756584 | Beth Joyce Hale | Counselor | 1440 W.29th, #100, Loveland, CA 80538 | 2017-08-18 |
| Find all providers in zip 80538 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598248338 | Diana Ruiloba | Physician Assistant | 4317 Lyric Falls Dr, Loveland, CO 80538-7149 | 2018-09-07 |
| 1255648598 | Matthew Emmett Harris | Physician Assistant | 1625 Foxtrail Dr Ste 190, Loveland, CO 80538-9089 | 2010-09-08 |
| 1003014853 | Sarah Caufield Kray | Physician Assistant | 1135 N Lincoln Ave Ste 6, Loveland, CO 80537 | 2007-07-03 |
| 1699894923 | Chad Ernest Smith | Physician Assistant | 1703 E 18th St, Loveland, CO 80538-4283 | 2007-03-28 |
| 1922087238 | Victor Palomares | Physician Assistant | 3850 N Grant Ave, Suite 200, Loveland, CO 80538-8431 | 2006-01-13 |
| 1902889124 | Kathryn L Olsen | Physician Assistant | 1708 Boise Ave, Loveland, CO 80538-4204 | 2005-11-22 |
| 1508864299 | Wayne Williamson | Physician Assistant | 302 3rd St Se, Suite 150, Loveland, CO 80537-6419 | 2005-07-07 |
| 1679571343 | Barbara Ann Tehrani | Physician Assistant | 450 N Cleveland Ave, Loveland, CO 80537-5508 | 2005-07-07 |
| 1598365330 | Big Thompson Emergency Physicians, PC | Physician Assistant | 2000 Boise Ave, Loveland, CO 80538-4281 | 2020-10-30 |
| 1366085045 | Lanaya Thompson | Physician Assistant | 1301 Mattec Dr, Loveland, OH 45140-7300 | 2019-10-24 |
| Find all providers in LOVELAND | ||||
Please comment or provide details below to improve the information on DOUGLAS PENN HORNBERGER.
| 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.