COMMUNITY MEDICAL GROUP, LLC (NPI# 1730505702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730505702 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL GROUP, LLC |
| Other Organization Name | GRAND VALLEY PEDIATRICS |
| Practice Address |
601 28 1/4 Rd Unit B Grand Junction CO 81506-6022 |
| Mailing Address |
Po Box 1727 Grand Junction CO 81502-1727 |
| Practice Telephone | 9702632604 |
| Mailing Telephone | 9702632604 |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | CHRISTIAN THOMAS (PRESIDENT/CEO) |
| Authorized Official Telephone | 9702566200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CMG Primary Care 7 | Doing Business As Name - Organization |
| Grand Valley Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548807829 | Community Medical Group, LLC | Internal Medicine | 2532 Patterson Rd Ste 9-10, Grand Jct, CO 81505-3604 | 2019-12-05 |
| 1073150850 | Community Medical Group, LLC | Specialist | 551 Kokopelli Blvd Unit F, Fruita, CO 81521-6305 | 2019-11-29 |
| 1538713136 | Community Medical Group, LLC | Nurse Practitioner | 605 28 1/4 Rd, Grand Junction, CO 81506-6020 | 2019-07-31 |
| 1700417425 | Community Medical Group, LLC | Family Medicine | 2373 G Rd Ste 270, Grand Junction, CO 81505-1006 | 2020-01-31 |
| 1457998411 | Community Medical Group, LLC | Family Medicine | 2373 G Rd, Grand Junction, CO 81505-1003 | 2019-12-09 |
| 1720625007 | Community Medical Group, LLC | Specialist | 601 28 1/4 Rd, Grand Junction, CO 81506-6022 | 2019-12-05 |
| 1134766421 | Community Medical Group, LLC | Family Medicine | 2020 N 12th St, Grand Jct, CO 81501-2914 | 2019-12-05 |
| 1205473550 | Community Medical Group, LLC | Family Medicine | 2373 G Rd Ste 240, Grand Junction, CO 81505-1006 | 2019-12-05 |
| 1134766496 | Community Medical Group, LLC | Specialist | 1060 Orchard Ave Unit O, Grand Junction, CO 81501-2997 | 2019-12-05 |
| 1265079545 | Community Medical Group, LLC | Internal Medicine | 2373 G Rd Ste 280, Grand Junction, CO 81505-1006 | 2019-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Community Medical Group, LLC | 2351 G Road, Grand Junction, CO 81505 |
| Indiana Business Entities | COMMUNITY MEDICAL GROUP, LLC | 234 East Gray Street, Suite 262, Louisville, KY 40202 |
| Street Address |
601 28 1/4 RD UNIT B |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81506-6022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1720646292 | Creed Ott | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1568948776 | Lakeside Psychological Services, LLC | Clinic/Center | 3154 Lakeside Dr Apt 103, Grand Junction, CO 81506 | 2018-07-11 |
| 1700389095 | Catherine Martha Plough | Registered Nurse | 2754 Compass Drive, Suite 377, Grand Junction, CO 81506 | 2018-03-13 |
| 1114445657 | Katrina Nicol Metcalf | Nurse Practitioner | 2643 Patterson Road Suite 605, Grand Junction, CO 81506 | 2017-09-05 |
| 1346760642 | Christopher Lewis Hoef II | Licensed Practical Nurse | 3031 N 14th St, Grand Junction, CO 81506 | 2017-06-27 |
| 1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
| 1073902284 | Brett Adams | Audiologist-Hearing Aid Fitter | 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 | 2015-01-12 |
| 1942625116 | Pamela W Kreps | Hearing Instrument Specialist | 759 Horizon Dr Ste E, Grand Junction, CO 81506 | 2014-02-25 |
| 1962779249 | Premere Rehab LLC | Occupational Therapist | 625 271/2 Road, Grand Junction, CO 81506 | 2011-11-30 |
| Find all providers in zip 81506 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275769325 | Katherine Marie Zybach | Pediatrics | 2643 Patterson Rd Ste 603, Grand Junction, CO 81506-1937 | 2009-06-03 |
| 1821237876 | David Stanley Herr | Pediatrics | 643 W Pagosa Dr, Grand Junction, CO 81506-6058 | 2009-02-16 |
| 1346334182 | Aurelio Etcheverry | Pediatrics | 1190 Bookcliff Ave Unit 104, Grand Junction, CO 81501-8159 | 2006-10-03 |
| 1720061310 | Sherry G. Nakano | Pediatrics | 3150 North 12th Street, Grand Junction, CO 81506-5517 | 2005-11-28 |
| 1033725643 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2643 Patterson Rd Ste 603, Grand Junction, CO 81506-1937 | 2020-09-18 |
| 1851907463 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2635 N 7th St, Grand Junction, CO 81501-8209 | 2020-09-18 |
| 1871106054 | Scl Health Medical Group - Grand Junction, LLC | Pediatrics | 2643 Patterson Rd Ste 603, Grand Junction, CO 81506-1937 | 2020-08-26 |
| 1659728111 | Chelsey Barrett Bovenschen | Pediatrics | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2016-05-15 |
| 1811363583 | Aurelio Etcheverrry D.o.,p.c. | Pediatrics | 1190 Bookcliff Ave Unit 104, Grand Junction, CO 81501-8159 | 2015-08-18 |
| 1720484421 | Cecilia Weaver | Pediatrics | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2014-11-07 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81506 |
Please comment or provide details below to improve the information on COMMUNITY MEDICAL GROUP, 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.