FRONT RANGE DERMATOLOGY ASSOCIATES (NPI# 1497396956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497396956 |
| Entity Type | Organization |
| Organization Name | FRONT RANGE DERMATOLOGY ASSOCIATES |
| Practice Address |
2923 Ginnala Dr Loveland CO 80538-2702 |
| Mailing Address |
Po Box 69 Timnath CO 80547-0069 |
| Practice Telephone | 9706731155 |
| Practice Fax Number | 9706734747 |
| Mailing Telephone | 9703010130 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | MICHELE BLUM (PRACTICE MANAGER) |
| Authorized Official Telephone | 9706731155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184973786 | Front Range Dermatology Associates | Dermatology | 6801 West 20th, Suite 208, Greeley, CO 80634 | 2012-08-29 |
| 1164063624 | Front Range Dermatology Associates | Clinic/Center | 4038 S Timberline Rd Unit 100, Fort Collins, CO 80525-6004 | 2019-10-04 |
| 1851932313 | Front Range Dermatology Associates | Clinic/Center | 500 Main St, Fort Morgan, CO 80701-2130 | 2019-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Front Range Dermatology Associates, PC | 6590 Rookery Rd, Fort Collins, CO 80528 |
| Street Address |
2923 GINNALA DR |
| City | LOVELAND |
| State | CO |
| Zip Code | 80538-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689663684 | Kevin Wayne Keefe | Internal Medicine | 2923 Ginnala Dr, Loveland, CO 80538-2702 | 2005-10-21 |
| 1164867735 | Shauna Marie Grady | Internal Medicine | 2923 Ginnala Dr, Loveland, CO 80538-2702 | 2013-05-08 |
| 1588941033 | Banner Health Physicians Colorado LLC | Clinic/Center | 2923 Ginnala Dr, Loveland, CO 80538-2702 | 2011-11-11 |
| 1740571017 | Big Thompson Medical Group Inc. | Clinic/Center | 2923 Ginnala Dr, Loveland, CO 80538-2702 | 2011-04-21 |
| 1720312309 | Banner Greeley Specialists | Clinic/Center | 2923 Ginnala Dr, Loveland, CO 80538-2702 | 2009-09-29 |
| 1093831687 | Srinivas Bandi | Psychiatry & Neurology | 2923 Ginnala Dr, Loveland, CO 80538-2702 | 2007-03-22 |
| 1083624266 | Paula Marie Thornton | Nurse Practitioner | 2923 Ginnala Dr, Loveland, CO 80538-2702 | 2006-08-09 |
| 1821022260 | Anna R Olson | Nurse Practitioner | 2923 Ginnala Dr, Loveland, CO 80538-2702 | 2006-07-10 |
| 1134174998 | Robert James Tello | Internal Medicine | 2923 Ginnala Dr, Loveland, CO 80538-2702 | 2006-05-23 |
| 1710930136 | Joseph William Schmitt | Psychiatry & Neurology | 2923 Ginnala Dr, Loveland, CO 80538-2702 | 2006-05-18 |
| Find all providers in the same location | ||||
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023640513 | Nephrology Clinic PC | Clinic/Center | 2988 Ginnala Dr, Loveland, CO 80538-2701 | 2020-02-12 |
| 1912183146 | Dennis S. Davis | Clinic/Center | 903 N Lincoln Ave, Loveland, CO 80537-4876 | 2008-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977058 | Yampa Valley Medical Center | Clinic/Center | 940 Central Park Dr Ste 191, Steamboat Springs, CO 80487-8853 | 2020-09-20 |
| 1932713153 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 11900 Grant St Ste 240, Northglenn, CO 80233-1117 | 2020-09-04 |
| 1508470998 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 1960 N Ogden St Ste 520, Denver, CO 80218-3671 | 2020-09-02 |
| 1346865896 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave Ste 201c, Boulder, CO 80303-1128 | 2020-06-10 |
| 1346872843 | Nephrology Clinic PC | Clinic/Center | 8229 W 20th St, Greeley, CO 80634-3040 | 2020-02-12 |
| 1457991473 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201f, Erie, CO 80516-4072 | 2020-01-07 |
| 1922659044 | Boulder Community Health | Clinic/Center | 4880 Riverbend Rd Ste 100, Boulder, CO 80301-2622 | 2019-09-20 |
| 1225687965 | Boulder Community Health | Clinic/Center | 4747 Arapahoe Ave, 3 West, Boulder, CO 80303-1131 | 2019-09-05 |
| 1538716923 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201d, Erie, CO 80516-4072 | 2019-08-21 |
| 1578110185 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201b, Erie, CO 80516-4072 | 2019-08-20 |
| 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.