BIG THOMPSON MEDICAL GROUP INC. (NPI# 1639469307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639469307 |
| Entity Type | Organization |
| Organization Name | BIG THOMPSON MEDICAL GROUP INC. |
| Practice Address |
8201 Spinnaker Bay Dr Windsor CO 80528-7533 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9702232272 |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-27 |
| Authorized Official Name | DENNIS E DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 17223822 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194016048 | Big Thompson Medical Group Inc. | Clinic/Center | 2000 Boise Ave, Loveland, CO 80538-5006 | 2011-04-27 |
| 1659662500 | Big Thompson Medical Group Inc. | Clinic/Center | 1900 Boise Ave, Suite 300, Loveland, CO 80538-5004 | 2011-04-27 |
| 1922399872 | Big Thompson Medical Group Inc. | Clinic/Center | 2555 E 13th St, Suite 110, Loveland, CO 80537-5161 | 2011-04-27 |
| 1568753424 | Big Thompson Medical Group Inc. | Clinic/Center | 2555 E 13th St, Suite 130, Loveland, CO 80537-5161 | 2011-04-27 |
| 1013208966 | Big Thompson Medical Group Inc. | Clinic/Center | 1647 E 18th St, Loveland, CO 80538-4209 | 2011-04-27 |
| 1659662518 | Big Thompson Medical Group Inc. | Clinic/Center | 1900 Boise Ave, Suite 410, Loveland, CO 80538-5004 | 2011-04-27 |
| 1710278700 | Big Thompson Medical Group Inc. | Clinic/Center | 2701 Madison Square Dr, Loveland, CO 80538-3386 | 2011-04-25 |
| 1407147416 | Big Thompson Medical Group Inc. | Clinic/Center | 914 W 6th St, Loveland, CO 80537-5341 | 2011-04-25 |
| 1780975995 | Big Thompson Medical Group Inc. | Clinic/Center | 3880 N Grant Ave, Suite 140, Loveland, CO 80538-8433 | 2011-04-21 |
| 1740571017 | Big Thompson Medical Group Inc. | Clinic/Center | 2923 Ginnala Dr, Loveland, CO 80538-2702 | 2011-04-21 |
| Street Address |
8201 SPINNAKER BAY DR |
| City | WINDSOR |
| State | CO |
| Zip Code | 80528-7533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740274455 | Michael James Ruff | Dentist | 8201 Spinnaker Bay Dr, Suite A, Windsor, CO 80528-7505 | 2005-09-08 |
| 1295288652 | Windsor Audiology LLC | Audiologist | 8201 Spinnaker Bay Dr, Ste E, Windsor, CO 80528-7533 | 2016-08-02 |
| 1790167120 | Leann Johnson | Audiologist | 8201 Spinnaker Bay Dr, Ste E, Windsor, CO 80528-7533 | 2015-06-22 |
| 1235110602 | Anthony A Doft | Family Medicine | 8201 Spinnaker Bay Dr, Suite D, Windsor, CO 80528-7533 | 2005-11-10 |
| 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 |
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| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1376806711 | Banner Health Physicians Colorado LLC | Clinic/Center | 8201 Spinnaker Bay Dr Ste D, Windsor, CO 80528-7534 | 2012-06-20 |
| 1518439223 | Noco Newco, LLC | Clinic/Center | 1300 Main St, Windsor, CO 80550-5989 | 2018-12-19 |
| 1811252125 | Banner Mountain Vista Orthopaedic Medical Clinic | Clinic/Center | 1300 Main St, Windsor, CO 80550-5989 | 2012-07-12 |
| 1831476381 | Banner Health Physicians Colorado LLC | Clinic/Center | 1300 Main St, Windsor, CO 80550-5989 | 2011-11-11 |
| 1538471644 | Banner Greeley Specialists | Clinic/Center | 1300 Main St, Windsor, CO 80550-5989 | 2010-07-06 |
| 1679804223 | Banner Medical Group Greeley LLC | Clinic/Center | 1300 Main St, Windsor, CO 80550-5989 | 2010-01-21 |
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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.