PREMIERCARE (NPI# 1902002116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902002116 |
| Entity Type | Organization |
| Organization Name | PREMIERCARE |
| Practice Address |
227 Midland Ave Ste 15b Basalt CO 81621-8119 |
| Practice Telephone | 9709278563 |
| Practice Fax Number | 9709275245 |
| Mailing Telephone | 9709278563 |
| Mailing Fax Number | 9709275245 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-08-04 |
| Authorized Official Name | TIMOTHY RICHARD KRUSE (OWNER) |
| Authorized Official Telephone | 9709278563 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PREMIERCARE CONSULTING, LLC | 706 Molino Dr, Baker, LA 70714-4337 |
| Washington State Corporations | PREMIERCARE DENTAL CENTERS, LLC | 9611 39th Loop Ne, Olympia, WA 98516 |
| Oregon Corporations, Companies and Business Names | PREMIERCARE DENTAL CENTERS, LLC | 590 Washington St, Ashland, OR 97520 |
| Colorado Business Entities | PremierCare Injury Services, LLC | 2149 S. Holly Street, #200, Denver, CO 80222 |
| Oregon Corporations, Companies and Business Names | PREMIERCARE MANAGEMENT GROUP, LLC | 4411 Brown Ridge Ter, Medford, OR 97504 |
| Colorado Business Entities | PremierCARE Medical Centers, LLC | 2149 S. Holly St., #200, Denver, CO 80222 |
| Ohio Business Entities | PREMIERCARE OHIO, INC. | 1300 East Ninth Street, Cleveland, OH 44114 |
| Oklahoma Business Registrations | PREMIERCARE, LLC | 12000 Aerospace Ave, Houston, TX 77034 |
| Street Address |
227 MIDLAND AVE STE 15B |
| City | BASALT |
| State | CO |
| Zip Code | 81621-8119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124005111 | Michelle Renee Muething | Counselor | 227 Midland Ave Ste 15b, Basalt, CO 81621-8119 | 2005-12-29 |
| 1811514334 | Skylar Severson | Social Worker | 227 Midland Ave Ste 15b, Basalt, CO 81621-8119 | 2020-06-30 |
| 1285263327 | Karmen M Pittenger | Social Worker | 227 Midland Ave Ste 15b, Basalt, CO 81621-8119 | 2020-04-01 |
| 1629635065 | Patricia Present | Counselor | 227 Midland Ave Ste 15b, Basalt, CO 81621-8119 | 2019-05-21 |
| 1710543509 | Amanda Danielle Smith Fierstein | Counselor | 227 Midland Ave Ste 15b, Basalt, CO 81621-8119 | 2019-05-16 |
| 1811553118 | April Brooks | Counselor | 227 Midland Ave Ste 15b, Basalt, CO 81621-8119 | 2019-05-13 |
| 1821551516 | Craig Farnum | Psychologist | 227 Midland Ave Ste 15b, Basalt, CO 81621-8119 | 2019-04-09 |
| 1417279597 | Roaring Fork Neurology, P.C. | Psychiatry & Neurology | 227 Midland Ave Ste 15b, Basalt, CO 81621-8119 | 2010-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777889 | Aspen Valley Hospital District | General Acute Care Hospital | 234 Cody Lane, Cardiac Rehab Basalt, Basalt, CO 81621 | 2019-12-13 |
| 1972925691 | Kristin Lynne Werner | Counselor | 207 Basalt Center Circle, Suite 201, Basalt, CO 81621 | 2014-01-15 |
| 1831449008 | Jody Powell | Naturopath | 189 Basalt Center Cir, Basalt, CO 81621 | 2012-09-14 |
| 1619274263 | Marcus Blue | Dentist | 227 Midland Avenue, Suite C-6, Basalt, CO 81621 | 2011-02-17 |
| 1669790572 | Win Health Institute, LLC | Health Maintenance Organization | 110 Midland Avenue, Suite 2, Basalt, CO 81621 | 2010-05-17 |
| 1730320557 | Frederick Elias Persiko | Counselor | 23400 Two Rivers Road, #49, Basalt, CO 81621 | 2009-03-09 |
| 1235305467 | Rachel Cherie Carey | Specialist | 1460 East Valley Road, Suite 101, Basalt, CO 81621 | 2008-05-07 |
| 1679697973 | Thomas Robert Lankering | Chiropractor | 189 Basalt Center Circle, Basalt, CO 81621 | 2007-03-19 |
| 1598850166 | Locke Family Medicine, LLC | Family Medicine | 1450 East Valley Road, Suite 101, Basalt, CO 81621 | 2006-10-03 |
| 1013925098 | Karen Chrisholm Stevenson | Physical Therapist | 1450 E Valley Road, Ste 203, Basalt, CO 81621 | 2006-08-04 |
| Find all providers in zip 81621 | ||||
| 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 |
|---|---|---|---|---|
| 1598850166 | Locke Family Medicine, LLC | Family Medicine | 1450 East Valley Road, Suite 101, Basalt, CO 81621 | 2006-10-03 |
| 1992708622 | Karen Cross Locke | Family Medicine | 1450 E Valley Rd, Unit 101, Basalt, CO 81621-8352 | 2005-05-27 |
| 1376546002 | Kelly Tay Locke | Family Medicine | 1460 E Valley Rd Ste 103, Basalt, CO 81621-8412 | 2005-05-27 |
| 1558619411 | Tkmd LLC | Family Medicine | 1460 E Valley Rd, Suite 160, Basalt, CO 81621-8411 | 2012-08-27 |
| 1538456041 | Anneliese Heckert | Family Medicine | 123 Emma Rd, Basalt, CO 81621-9169 | 2011-07-05 |
| 1497993547 | Locke Aesthetics LLC | Family Medicine | 1450 E Valley Rd, Suite 101, Basalt, CO 81621-8304 | 2009-01-28 |
| 1306988126 | Timothy Richard Kruse | Family Medicine | 711 E Valley Rd, Unit 202c, Basalt, CO 81621-8370 | 2007-02-12 |
| 1679569479 | Bruce K Bowen | Family Medicine | 1450 E Valley Rd, Suite 101, Basalt, CO 81621-8352 | 2005-09-27 |
| 1417943366 | Glenn E Kotz | Family Medicine | 1450 E Valley Rd, Suite 101, Basalt, CO 81621-8304 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334308 | Emily Laura Milligan | Family Medicine | 1032 E 14th Ave Apt 4, Denver, CO 80218-1923 | 2020-10-20 |
| 1265030829 | Paladina Health, LLC | Family Medicine | 11990 Grant St Ste 100, Northglenn, CO 80233-5156 | 2020-10-15 |
| 1073111381 | Paladina Health, LLC | Family Medicine | 3400 W 16th St Ste Y, Greeley, CO 80634-6862 | 2020-10-09 |
| 1376140137 | Colorado Physician Partners, Pllc | Family Medicine | 7920 S University Blvd Ste 203, Centennial, CO 80122-5103 | 2020-10-05 |
| 1659988616 | 5280 Medical Concierge Inc | Family Medicine | 2821 S Parker Rd Ste 574, Aurora, CO 80014-2735 | 2020-09-24 |
| 1144837105 | Dany Vexler Fnp-c LLC | Family Medicine | 2821 S Parker Rd Ste 575, Aurora, CO 80014-2713 | 2020-09-24 |
| 1851907489 | Inpatient Services, PC | Family Medicine | 1960 S Fordham St, Longmont, CO 80503-7777 | 2020-09-18 |
| 1043826795 | Alegis Care of Colorado LLC | Family Medicine | 2000 S Colorado Blvd Ste 1100, Denver, CO 80222-7957 | 2020-09-18 |
| 1790390821 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 10405 Martin Luther King Blvd Ste 120, Denver, CO 80238-2399 | 2020-09-15 |
| 1477167567 | 247 Doctor | Family Medicine | 22884 E Layton Ave, Aurora, CO 80015-6473 | 2020-09-04 |
| 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.