DOUGLAS BRUCE DEYOUNG (NPI# 1811989064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811989064 |
| Entity Type | Individual |
| Full Name | DOUGLAS BRUCE DEYOUNG |
| Credential | DO |
| Practice Address |
313 W Drake Rd Fort Collins CO 80526-2846 |
| Mailing Address |
4674 Snow Mesa Dr Ste 140 Fort Collins CO 80528-8615 |
| Practice Telephone | 9704828881 |
| Practice Fax Number | 9704829646 |
| Mailing Telephone | 9702255043 |
| Mailing Fax Number | 9704829646 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2015-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 27536 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | BCBS | DE27536 | 01 |
| CO | 1275361 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093735664 | Douglas M Deyoung | Physical Therapy Assistant | 286 Marlin Rd, Venice, FL 34293-5933 | 2006-07-19 |
| Street Address |
313 W DRAKE RD |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-2846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613878 | Advanced Foot Care, PC | Podiatrist | 313 W Drake Rd, Fort Collins, CO 80526-2846 | 2020-06-15 |
| 1063041374 | Radiant Dental Health | Clinic/Center | 313 W Drake Rd, Fort Collins, CO 80526-2846 | 2020-04-07 |
| 1285179572 | Natural Health Associates LLC | Massage Therapist | 313 W Drake Rd, Suite 210, Fort Collins, CO 80526-2846 | 2016-12-22 |
| 1033660931 | Bender Medical Group, Inc | Dental Hygienist | 313 W Drake Rd, Fort Collins, CO 80526 | 2016-10-17 |
| 1619421351 | Bender Medical Group, Inc | Clinic/Center | 313 W Drake Rd, Fort Collins, CO 80526-2846 | 2016-08-11 |
| 1134580806 | Savannah Russell | Acupuncturist | 313 W Drake Rd, Suite 210, Fort Collins, CO 80526-2846 | 2016-03-09 |
| 1659751980 | Douglas William Bermingham | Psychologist | 313 W Drake Rd, Fort Collins, CO 80526-2846 | 2015-06-02 |
| 1679912919 | Bender Medical Group | Family Medicine | 313 W Drake Rd, Fort Collins, CO 80526-2846 | 2013-06-20 |
| 1740596527 | Bender Medical Group | Family Medicine | 313 W Drake Rd, Fort Collins, CO 80526-2846 | 2010-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| 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 | 80526 |
Please comment or provide details below to improve the information on DOUGLAS BRUCE DEYOUNG.
| 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.