TWIN PEAKS DERMATOLOGY, PC (NPI# 1467628404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467628404 |
| Entity Type | Organization |
| Organization Name | TWIN PEAKS DERMATOLOGY, PC |
| Practice Address |
205 S Main St Suite E Longmont CO 80501-1716 |
| Practice Telephone | 3034858913 |
| Practice Fax Number | 3034858914 |
| Mailing Telephone | 3034858913 |
| Mailing Fax Number | 3034858914 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2013-09-25 |
| Authorized Official Name | JOHN FUESTON (PRESIDENT OF TWIN PEAKS DERMATOLOGY) |
| Authorized Official Telephone | 3034858913 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
205 S MAIN ST SUITE E |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000692 | John Christopher Fueston | Dermatology | 205 S Main St, Suite E, Longmont, CO 80501-1716 | 2005-08-18 |
| 1467993006 | Sun Lee | Physical Therapy Assistant | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2017-03-15 |
| 1003274192 | Colin Strack | Physician Assistant | 205 S Main St, Suite A, Longmont, CO 80501-1716 | 2016-02-03 |
| 1144593872 | Nathaniel Foster | Physical Therapy Assistant | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2012-02-10 |
| 1881961316 | Front Range Eye Physicians PC | Ophthalmology | 205 S Main St, Suite D, Longmont, CO 80501-1716 | 2011-11-29 |
| 1033496179 | Scott Patric Sullivan | Specialist/Technologist | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2011-11-03 |
| 1003137134 | Workwell Occupational Medicine | Clinic/Center | 205 S Main St, Longmont, CO 80501-1716 | 2010-06-11 |
| 1376775023 | House Call Physicians, PC | Family Medicine | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2009-08-13 |
| 1760647333 | Evan Matthew Little | Physical Therapist | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2008-07-23 |
| 1659404952 | William Ford | Nurse Practitioner | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2007-03-14 |
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| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
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| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
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|---|---|---|---|---|
| 1558853846 | Crossroads Dermatology LLC | Dermatology | 2350 17th Ave Ste 100, Longmont, CO 80503-1738 | 2018-06-01 |
| 1801930110 | Isabel Koelsch | Dermatology | 1850 Mountain View Ave, Longmont, CO 80501-3212 | 2007-02-19 |
| 1134299282 | Isabel H Koelsch Md | Dermatology | 1850 W Mountain View Ave, Longmont, CO 80501 | 2006-11-08 |
| 1023000692 | John Christopher Fueston | Dermatology | 205 S Main St, Suite E, Longmont, CO 80501-1716 | 2005-08-18 |
| 1477182640 | Poudre Valley Medical Group, LLC | Dermatology | 1850 Mountain View Ave, Longmont, CO 80501-3212 | 2020-04-08 |
| 1730523531 | Jessica N Doty | Dermatology | 1850 Mountain View Ave, Longmont, CO 80501-3212 | 2013-04-23 |
| 1013900539 | Kristin M Baird | Dermatology | 1551 Professional Ln, Suite 135, Longmont, CO 80501-6972 | 2005-08-30 |
| 1992702161 | Peter Bachmann | Dermatology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2005-07-03 |
| 1366447740 | Scott Clark | Dermatology | 1925 W Mountain View Ave, Longmont, CO 80501-3128 | 2005-06-14 |
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| 1316577323 | Medical Man Cave Pllc | Dermatology | 250 Steele Street, Suite 350, Denver, CO 80206-5242 | 2020-01-17 |
| 1124664248 | Allison Marquis | Dermatology | 4350 Limelight Ave Ste 205, Castle Rock, CO 80109-8034 | 2019-11-24 |
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1326521576 | Kaitlyn Laurel Pell | Dermatology | 125 Inverness Dr E Ste 340, Englewood, CO 80112-5139 | 2018-09-13 |
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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.