IDEAL FAMILY HEALTHCARE PC (NPI# 1932385549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932385549 |
| Entity Type | Organization |
| Organization Name | IDEAL FAMILY HEALTHCARE PC |
| Other Organization Name | COTTONWOOD FAMILY MEDICINE |
| Practice Address |
335 Manitou Ave Manitou Springs CO 80829 |
| Mailing Address |
335 Manitou Ave Manitou Springs CO 80829-2537 |
| Practice Telephone | 7196868844 |
| Practice Fax Number | 7196867449 |
| Mailing Telephone | 7196868844 |
| Mailing Fax Number | 7196867449 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2018-10-15 |
| Authorized Official Name | DR. GREGORY EVAN SHARP (PRESIDENT) |
| Authorized Official Telephone | 7196868844 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PALMETTO GBA | DD3684 | 01 |
| Other Name | Type Code |
|---|---|
| Cottonwood Family Medicine | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 335 Manitou Ave, Manitou Springs, CO 80829 | 7196868844 | 7196867449 |
| Street Address |
335 MANITOU AVE |
| City | MANITOU SPRINGS |
| State | CO |
| Zip Code | 80829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679564827 | Gregory Evan Sharp | Family Medicine | 335 Manitou Ave, Manitou Springs, CO 80829-2537 | 2005-11-04 |
| 1114493491 | Gregory Sharp Md Pllc | Family Medicine | 335 Manitou Ave, Manitou Springs, CO 80829-2537 | 2018-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740704063 | Amanda Renee Galloway | Doula | 439 E. Fountain Pl, Manitou Springs, CO 80829 | 2017-07-28 |
| 1497126171 | Kailee Holly | Music Therapist | 6b Spencer Ave, Manitou Springs, CO 80829 | 2015-10-07 |
| 1215479415 | Tracey Clark | Counselor | 65 Waltham Ave, Manitou Springs, CO 80829-1612 | 2016-11-06 |
| 1023077740 | Christopher Miles Johnson | Pediatrics | 80 Waltham Ave, Manitou Springs, CO 80829-1613 | 2006-03-21 |
| 1497229983 | Maria Wilcox | Behavioral Analyst | 215 Pilot Knob Ave, Manitou Springs, CO 80829-1641 | 2019-01-17 |
| 1861042020 | Natalia Correa-pulido | Physical Therapist | 379 Pilot Knob Ave, Manitou Springs, CO 80829-1643 | 2019-09-18 |
| 1619246311 | Patrick Mannion | Speech-Language Pathologist | 323 Pilot Knob Ave, Manitou Springs, CO 80829-1643 | 2011-12-26 |
| 1548214760 | Theresa Billmeyer Cassidy | Occupational Therapist | 60 Waltham Ave, Manitou Springs, CO 80829-1672 | 2006-05-20 |
| 1629549613 | Frank S Chavez | Massage Therapist | 26 Grand Ave, Manitou Springs, CO 80829-1726 | 2018-12-17 |
| 1720559719 | Sacred Fields Healing | Massage Therapist | 26 Grand Ave, Manitou Springs, CO 80829-1726 | 2018-12-17 |
| Find all providers in zip 80829 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334746 | Joel Allen Miller | Clinic/Center | 2125 Norwich Dr, Colorado Springs, CO 80920-5332 | 2020-10-25 |
| 1649879214 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201h, Erie, CO 80516-4072 | 2020-10-23 |
| 1285233882 | Boulder Community Health | Clinic/Center | 4745 Arapahoe Ave Ste 201, Boulder, CO 80303-1080 | 2020-10-23 |
| 1700485372 | Boulder Community Health | Clinic/Center | 2101 Ken Pratt Blvd Ste 104h, Longmont, CO 80501-6568 | 2020-10-23 |
| 1841899416 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 216a, Lafayette, CO 80026-2089 | 2020-10-23 |
| 1669079794 | Springfield Chiropractic LLC | Clinic/Center | 1302 S. Shields St., Suite A1-2, Fort Collins, CO 80521-4801 | 2020-10-01 |
| 1508470881 | San Luis Valley Community Mental Health Center | Clinic/Center | 260 Worth Street, Center, CO 81125 | 2020-09-03 |
| 1285248732 | San Luis Valley Community Mental Health Center | Clinic/Center | 409 Trinchera St, San Luis, CO 81152 | 2020-09-02 |
| 1629689658 | Yampa Valley Medical Center | Clinic/Center | 705 Marketplace Plz Ste 250, Steamboat Springs, CO 80487-1800 | 2020-08-13 |
| 1841817921 | Strive Health Pa LLC | Clinic/Center | 1600 Stout St Ste 2000, Denver, CO 80202-3113 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| City | MANITOU SPRINGS |
| Zip Code | 80829 |
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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.