DR. JACQUELYN DORENKAMP (NPI# 1700267945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700267945 |
| Entity Type | Individual |
| Full Name | DR. JACQUELYN DORENKAMP |
| Credential | D.O. |
| Practice Address |
3702 Automation Way Ste 103 Fort Collins CO 80525-5738 |
| Practice Telephone | 9702242985 |
| Mailing Telephone | 9702242985 |
| Mailing Fax Number | 3139667696 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 0064153 | CO | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 0064153 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
3702 AUTOMATION WAY STE 103 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-5738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851389613 | Northern Colorado Anesthesia Professionals Pllc | Anesthesiology | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2005-10-06 |
| 1932723327 | Joshua Schultz | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2020-06-02 |
| 1639798549 | Adam Weber | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2020-04-10 |
| 1215560552 | Bradley Ryan Karpowitz | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2020-02-14 |
| 1346872199 | Amanda Halverson | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2020-02-10 |
| 1427688308 | Zachary Murphy | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2020-01-20 |
| 1386283257 | Adam Selzler | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2019-12-24 |
| 1437795218 | Jennifer M Lee | Registered Nurse | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2019-11-27 |
| 1851936512 | Zachary Edward Skinner | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2019-11-16 |
| 1427692631 | Samantha Wagnon | Registered Nurse | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2019-10-30 |
| Find all providers in the same location | ||||
| 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 | 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 | 80525 |
Please comment or provide details below to improve the information on DR. JACQUELYN DORENKAMP.
| 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.