TAMARA JOHNSON-BAACK (NPI# 1588634448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588634448 |
| Entity Type | Individual |
| Full Name | TAMARA JOHNSON-BAACK |
| Credential | M.D. |
| Practice Address |
2121 E. Harmony Rd, Ste 300 Fort Collins CO 80528 |
| Practice Telephone | 9702240429 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
40054 | CO | Allopathic & Osteopathic Physicians |
| X | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
40054 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
2121 E. HARMONY RD, STE 300 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959637 | Gtg Colorado LLC | Internal Medicine | 1959 Wewatta St Unit 516, Denver, CO 80202-6624 | 2020-10-11 |
| 1497368674 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 2643 Patterson Rd Ste 406, Grand Junction, CO 81506-1937 | 2020-08-26 |
| 1255985388 | James Joseph Marr Jr. | Internal Medicine | 14885 Irving St, Broomfield, CO 80023-9409 | 2019-07-26 |
| 1659728087 | Clay Watson Md Pllc | Internal Medicine | 3800 Buchtel Blvd, #100984, Denver, CO 80250-7501 | 2016-05-16 |
| 1578909032 | Kathryn Lee Springer M.d. P.C. | Internal Medicine | 950 E Harvard Ave Ste 690, Denver, CO 80210-7011 | 2013-05-10 |
| 1588925044 | Benjamin Harrold White | Internal Medicine | 3303 W 144th Ave Unit 103, Broomfield, CO 80023-9464 | 2012-05-31 |
| 1891060935 | Sharma PC | Internal Medicine | 10604 Chadsworth Ln, Highlands Ranch, CO 80126-7508 | 2012-03-21 |
| 1356641500 | Kenneth F Baum Md PC | Internal Medicine | 73 Jasmine St, Denver, CO 80220-5910 | 2010-10-21 |
| 1720317746 | Jacob Thomas Cross Jr. | Internal Medicine | 4320 Grantham Ct, Colorado Springs, CO 80906-4365 | 2009-12-22 |
| 1649504085 | Jatinbhai J Patel | Internal Medicine | 4737 Eagleridge Cir, Apt#203, Pueblo, CO 81008-2199 | 2009-10-01 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
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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.