ELEVATION MEDICAL, INC. (NPI# 1639549215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639549215 |
| Entity Type | Organization |
| Organization Name | ELEVATION MEDICAL, INC. |
| Practice Address |
4745 Boardwalk Dr Unit C1 Fort Collins CO 80525-3769 |
| Practice Telephone | 9702074066 |
| Practice Fax Number | 9702251392 |
| Mailing Telephone | 9702074066 |
| Mailing Fax Number | 9702251392 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |
| Authorized Official Name | MICHAEL PUSTILNIK (PARTNER) |
| Authorized Official Telephone | 9702074066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
4745 BOARDWALK DR UNIT C1 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-3769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912911546 | Ryan David Schleisman | Chiropractor | 4745 Boardwalk Dr Unit C1, Fort Collins, CO 80525-3769 | 2006-07-28 |
| 1346411386 | Chiropractic Assoc. of Ft Collins | Chiropractor | 4745 Boardwalk Dr Unit C1, Fort Collins, CO 80525-3769 | 2008-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728706 | Poudre Valley Medical Group, LLC | General Practice | 256 W Mountain Ave, Fort Collins, CO 80521-2711 | 2020-04-13 |
| 1023637915 | Poudre Valley Medical Group, LLC | General Practice | 1041 Woodward Way, Fort Collins, CO 80524-3468 | 2020-04-11 |
| 1710516950 | Poudre Valley Medical Group, LLC | General Practice | 4380 Ziegler Rd, Fort Collins, CO 80525-9631 | 2020-04-08 |
| 1376832733 | Narda Gail Robinson | General Practice | 519 N Grant Ave, Fort Collins, CO 80521-1923 | 2011-04-06 |
| 1417284050 | Western Healthcare Network | General Practice | 2809 E Harmony Rd, Suite #100, Fort Collins, CO 80528-3109 | 2009-11-03 |
| 1922332956 | Mountain Air, LLC | General Practice | 1260 Doctors Lane, Fort Collins, CO 80524 | 2009-09-23 |
| 1922620897 | Poudre Valley Medical Group, LLC | General Practice | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-05-13 |
| 1033731138 | Poudre Valley Medical Group, LLC | General Practice | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2020-05-12 |
| 1073667317 | Venkataperumal R Chandrasekaran | General Practice | 1006 Robertson St, Fort Collins, CO 80524-3900 | 2007-01-23 |
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|---|---|---|---|---|
| 1063020923 | Scl Health Medical Group - Denver, LLC | General Practice | 8550 W 38th Ave Ste 320, Wheat Ridge, CO 80033-4300 | 2020-07-16 |
| 1316569387 | Poudre Valley Medical Group, LLC | General Practice | 4050 Briargate Pkwy Fl 4, Colorado Springs, CO 80920-7815 | 2020-05-13 |
| 1407478456 | Poudre Valley Medical Group, LLC | General Practice | 2500 Rocky Mountain Ave # F1016j, Loveland, CO 80538-9004 | 2020-05-13 |
| 1386263044 | Poudre Valley Medical Group, LLC | General Practice | 3800 Wilson Ave, Loveland, CO 80538-2075 | 2020-04-13 |
| 1689208035 | Balance Wellspace LLC | General Practice | 125 Rampart Way Ste 300, Denver, CO 80230-6429 | 2020-02-25 |
| 1215584321 | Belleview Spince and Wellnces Cos LLC | General Practice | 1257 Lake Plaza Dr Ste 105, Colorado Springs, CO 80906-7300 | 2019-08-22 |
| 1497307771 | Pamela Raring Mclaughlin | General Practice | 2275 Homestead Dr, Grand Junction, CO 81505-8306 | 2019-07-16 |
| 1215499967 | Stanley Leon Rapaport | General Practice | 3920 E San Miguel St Apt 129, Colorado Springs, CO 80909-3416 | 2019-04-02 |
| 1639634280 | Demerick C Fradl | General Practice | 1491 County Road 237, Silt, CO 81652-8794 | 2019-02-07 |
| 1982170585 | Christina Renee Elliott | General Practice | 34 Sandra Ln, Manitou Springs, CO 80829-2716 | 2018-10-22 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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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.