HERITAGE FAMILY MEDICINE LLC (NPI# 1679931182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679931182 |
| Entity Type | Organization |
| Organization Name | HERITAGE FAMILY MEDICINE LLC |
| Practice Address |
1006 Robertson St Fort Collins CO 80524-3900 |
| Practice Telephone | 9702241596 |
| Practice Fax Number | 9705301919 |
| Mailing Telephone | 9702241596 |
| Mailing Fax Number | 9705301919 |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |
| Authorized Official Name | DOUGLAS EDWARD CANHAM (PRESIDENT / CEO) |
| Authorized Official Telephone | 9702241596 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699004853 | Heritage Family Medicine LLC | Family Medicine | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 | 2009-12-17 |
| Street Address |
1006 ROBERTSON ST |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891797171 | Richard W Johnson | Internal Medicine | 1006 Robertson St, Ste 104, Fort Collins, CO 80524-3948 | 2005-06-01 |
| 1932646684 | Gregory Mavrides | Social Worker | 1006 Robertson St, Ste C, Fort Collins, CO 80524-3900 | 2017-01-19 |
| 1811340912 | Professional Counseling and Hypnosis LLC | Psychologist | 1006 Robertson St, West Wing, Lwr Level, Fort Collins, CO 80524-3900 | 2016-07-13 |
| 1063867703 | Faren Jane Peterson | Counselor | 1006 Robertson St, Bldg 2, Fort Collins, CO 80524-3900 | 2016-05-02 |
| 1548527138 | Fort Collins Family Care | Family Medicine | 1006 Robertson St, Fort Collins, CO 80524-3900 | 2012-04-19 |
| 1689953671 | Kelly Sonnenfeld | Counselor | 1006 Robertson St, Suite B, Fort Collins, CO 80524-3900 | 2011-08-09 |
| 1750517686 | Fort Collins Primary Care Pllc | Internal Medicine | 1006 Robertson St, Fort Collins, CO 80524-3900 | 2009-06-05 |
| 1720223548 | Dale E. Daniel | Counselor | 1006 Robertson St, Fort Collins, CO 80524-3900 | 2008-12-08 |
| 1073667317 | Venkataperumal R Chandrasekaran | General Practice | 1006 Robertson St, Fort Collins, CO 80524-3900 | 2007-01-23 |
| 1669535118 | Heritage Family Medicine | Nurse Practitioner | 1006 Robertson St, Fort Collins, CO 80524 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783566 | J. David Cranor Md LLC | Family Medicine | 2105 Bighorn Dr., #102, Fort Collins, CO 80525-9166 | 2019-01-08 |
| 1487170502 | Sunshine Celestina Stellmon | Family Medicine | 363 W Drake Rd Ste 9, Fort Collins, CO 80526-2882 | 2017-08-21 |
| 1265964704 | Christ Clinic Inc | Family Medicine | 3920 S Shields St, Fort Collins, CO 80526-3015 | 2017-04-03 |
| 1417399213 | Karen Kathleen Weese Bell | Family Medicine | 2900 S College Ave, Suite 3g, Fort Collins, CO 80525-2562 | 2013-07-22 |
| 1932448735 | Nancy Peltola | Family Medicine | 1339 Banyan Dr, Fort Collins, CO 80521-7529 | 2013-02-14 |
| 1285995811 | Stephen Gerard Henke | Family Medicine | 1304 S College Ave Ste 5, Fort Collins, CO 80524-4114 | 2012-05-30 |
| 1982963229 | Elizabeth Hauslein Buell | Family Medicine | 151 W. Lake Street, Fort Collins, CO 80523-8031 | 2012-05-07 |
| 1851660542 | James Edgar Froeschle | Family Medicine | 5902 Fossil Creek Pkwy, Fort Collins, CO 80525-7108 | 2011-12-24 |
| 1508168758 | Aida Yavari | Family Medicine | 1830 Laporte Ave, Fort Collins, CO 80521-2341 | 2010-11-20 |
| 1003071804 | Shannon D Evans | Family Medicine | 4745 Boardwalk Drive Unit C3, Fort Collins, CO 80525 | 2008-07-22 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on HERITAGE FAMILY MEDICINE LLC.
| 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.