DR. KENNETH A PETTINE (NPI# 1720069198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720069198 |
| Entity Type | Individual |
| Full Name | DR. KENNETH A PETTINE |
| Credential | M.D. |
| Practice Address |
4795 Larimer Parkway Johnstown CO 80534 |
| Practice Telephone | 9706698881 |
| Practice Fax Number | 9706694200 |
| Mailing Telephone | 9706698881 |
| Mailing Fax Number | 9706694200 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2015-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
29524 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01295245 | 05 |
| Street Address |
4795 LARIMER PARKWAY |
| City | JOHNSTOWN |
| State | CO |
| Zip Code | 80534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801031273 | Rocky Mountain Associates In Orthopedic Medicine, PC | Orthopaedic Surgery | 4795 Larimer Parkway, Johnstown, CO 80534-9021 | 2008-12-12 |
| 1609806314 | Rocky Mountain Associates In Orthopedic Medicine, PC | Orthopaedic Surgery | 4795 Larimer Parkway, Johnstown, CO 80534-9021 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299410 | Bauer Occupational Therapy, LLC | Occupational Therapist | 442 La Costa Ln, Johnstown, CO 80534 | 2017-11-17 |
| 1942698071 | Family Physicians of Greeley, LLP | Family Medicine | 473 Castle Pines Ave, Suite 1, Johnstown, CO 80534 | 2014-12-23 |
| 1376761924 | Steven L Martin | Dentist | 5 N. Parish Ave., Johnstown, CO 80534 | 2007-04-20 |
| 1699896613 | Ashlea Elizabeth Franques | Pediatrics | 4435 Ronald Reagan Blvd, Johnstown, CO 80534 | 2007-04-03 |
| 1043858251 | Kristen Mcfarland | Physical Therapist | 247 Mountain Avenue, Berthoud, CO 80534 | 2019-12-18 |
| 1841780400 | Colorado Rehabilitation Associates LLC | Physical Medicine & Rehabilitation | 4401 Union St, Johnstown, CO 80534 | 2018-05-18 |
| 1073059523 | Santibanez Aguirre PC | Hospitalist | 4401a Union Street, Johnstown, CO 80534 | 2017-01-09 |
| 1811142524 | 25/34 Plastic Surgery Associates, PC | Specialist | 4450 Union St., Suite 100, Johnstown, CO 80534-0001 | 2008-11-21 |
| 1790794824 | Marc Anthony Masotti | Internal Medicine | 4401a Union St, Johnstown, CO 80534-2800 | 2006-08-07 |
| 1417582982 | Carly Frounfelker | Physical Therapy Assistant | 4401 Union St, Johnstown, CO 80534-2800 | 2020-03-05 |
| Find all providers in zip 80534 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710968185 | Edward Jeffrey Donner | Orthopaedic Surgery | 4795 Larimer Pkwy, Johnstown, CO 80534-9021 | 2005-11-10 |
| 1801208236 | Colorado Spine Institute Professional LLC | Orthopaedic Surgery | 4795 Larimer Pkwy, Johnstown, CO 80534-9021 | 2014-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255813671 | Catholic Health Initiatives Colorado | Orthopaedic Surgery | 314 South 6th Street, Montrose, CO 81401-5719 | 2018-09-01 |
| 1033617394 | Spine Cin of Denver LLC | Orthopaedic Surgery | 255 Union Blvd Ste 150-236, Lakewood, CO 80228-1810 | 2018-01-31 |
| 1225536584 | Joint Replacement Cin of Denver LLC | Orthopaedic Surgery | 255 Union Blvd Ste 150-237, Lakewood, CO 80228-1810 | 2018-01-31 |
| 1891200218 | Verus, LLC | Orthopaedic Surgery | 1685 S Colorado Blvd Ste 318, Denver, CO 80222-4000 | 2017-12-07 |
| 1962821777 | Shahbaaz Sabri | Orthopaedic Surgery | 12631 E 17th Ave Rm 4602, Aurora, CO 80045 | 2014-04-09 |
| 1497049753 | Larry Victor Lee | Orthopaedic Surgery | 15530 E Broncos Pkwy Unit 100, Centennial, CO 80112-7111 | 2011-06-04 |
| 1699070193 | Rocky Mountain Orthopedic Specialists | Orthopaedic Surgery | 5285 Mcwhinney Blvd Ste 140, Loveland, CO 80538-8707 | 2011-01-14 |
| 1295966307 | Christopher A Gallus | Orthopaedic Surgery | 9695 S Yosemite St Ste 255b, Lone Tree, CO 80124-2890 | 2009-08-06 |
| 1679742829 | R Shay Bess Md PC | Orthopaedic Surgery | Dept 2155, Denver, CO 80291-0001 | 2008-02-21 |
| 1912183625 | Robert Bess Md, Facs Orthopaedic Surgery Inc | Orthopaedic Surgery | 8500 Park Meadows Dr, Suite 210, Lone Tree, CO 80124-2742 | 2008-01-11 |
| Find all providers with the same taxonomy | ||||
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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.