SUMMIT WELLNESS GROUP INC (NPI# 1891206694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891206694 |
| Entity Type | Organization |
| Organization Name | SUMMIT WELLNESS GROUP INC |
| Practice Address |
7337 E County Line Rd Longmont CO 80504-8430 |
| Practice Telephone | 3035795922 |
| Mailing Telephone | 3035795922 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |
| Authorized Official Name | DR. JULIE KRELL HALL (PRESIDENT) |
| Authorized Official Telephone | 3035795922 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 41656 | CO | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Summit Wellness Group Inc. | 7337 E County Line Rd, Longmont, CO 80504 |
| Street Address |
7337 E COUNTY LINE RD |
| City | LONGMONT |
| State | CO |
| Zip Code | 80504-8430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776620 | Cinde S Yoho | Social Worker | 9485 County Road 15, Firestone, CO 80504 | 2018-10-19 |
| 1427544881 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 310 Lashley St Ste 109, Longmont, CO 80504 | 2018-07-09 |
| 1962913962 | Melissa Frick | Counselor | 10184 E I-25 Frontage Rd, Firestone, CO 80504 | 2017-10-17 |
| 1558757260 | Firestone Pediatric Dentistry and Orthodontics | Dentist | 8301 Colorado Blvd, Suite 200, Firestone, CO 80504 | 2015-04-09 |
| 1912392671 | Ashley Lerwick | Speech-Language Pathologist | 11169 Interstate I25 Frontage Rd, Firestone, CO 80504 | 2015-03-31 |
| 1780077685 | Roger Leon Jorgensen | Ophthalmology | 14222 N 95 Si, Longmont, CO 80504 | 2015-03-17 |
| 1982942090 | Carrie Rose Fitzekam | Technician | 712 Tanagers Circle, Longmont, CO 80504 | 2013-01-24 |
| 1003166976 | Jennifer Lynn Mcnerney | Speech-Language Pathologist | 8197 Miller Dr, Frederick, CO 80504 | 2012-09-18 |
| 1821343450 | Allison Luellen | Physician Assistant | 8350 Colorado Blvd, Suite 160, Firestone, CO 80504 | 2012-07-19 |
| 1609132109 | Abby Elizabeth Bohall | Speech-Language Pathologist | 5132 Mt Buchanan Ave, Frederick, CO 80504 | 2012-04-09 |
| Find all providers in zip 80504 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487800363 | Gary Fishel Gansar | General Practice | 8480 Haystack Ct, Longmont, CO 80503-7292 | 2008-08-12 |
| 1366465866 | Longmont United Hospital | General Practice | 1950 W Mountain View Ave, Longmont, CO 80501-3129 | 2006-07-25 |
| 1154937282 | Poudre Valley Medical Group, LLC | General Practice | 2900 Peak Ave, Longmont, CO 80504-6236 | 2020-09-23 |
| 1942822036 | Poudre Valley Medical Group, LLC | General Practice | 1750 E Ken Pratt Blvd, Longmont, CO 80504-5311 | 2020-05-12 |
| 1003359118 | Vcphcs X, LLC | General Practice | 850 23rd Ave, Unit A, Longmont, CO 80501-1114 | 2016-11-21 |
| 1093194755 | Joel Roberts | General Practice | 1351 Collyer St, Longmont, CO 80501 | 2015-05-27 |
| 1598932279 | Longmont United Hospital | General Practice | 1950 W Mountain View Ave, Longmont, CO 80501-3129 | 2008-05-13 |
| 1871620880 | Roberta L Shanahan | General Practice | 2345 Bent Way, Longmont, CO 80503-7614 | 2007-02-27 |
| 1669509626 | Kristi L Killgore | General Practice | 2345 Bent Way, Longmont, CO 80503-7614 | 2007-02-27 |
| 1124155130 | Melanie A Sadler | General Practice | 2345 Bent Way, Longmont, CO 80503-7614 | 2007-02-27 |
| Find all providers in LONGMONT | ||||
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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.