WORKWELL OCCUPATIONAL MEDICINE (NPI# 1003137134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003137134 |
Entity Type | Organization |
Organization Name | WORKWELL OCCUPATIONAL MEDICINE |
Practice Address |
205 S Main St Longmont CO 80501-1716 |
Practice Telephone | 3037021612 |
Mailing Telephone | 3037021612 |
Enumeration Date | 2010-06-11 |
Last Update Date | 2013-04-23 |
Authorized Official Name | DR. BRIAN MATHWICH (MD) |
Authorized Official Telephone | 3037021612 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
PTL.0011880 | CO | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689704801 | Workwell Occupational Medicine | Preventive Medicine | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2007-03-06 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | WorkWell Occupational Medicine, LLC | 164 Primrose Court, Longmont, CO 80501 |
Street Address |
205 S MAIN ST |
City | LONGMONT |
State | CO |
Zip Code | 80501-1716 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023000692 | John Christopher Fueston | Dermatology | 205 S Main St, Suite E, Longmont, CO 80501-1716 | 2005-08-18 |
1467993006 | Sun Lee | Physical Therapy Assistant | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2017-03-15 |
1003274192 | Colin Strack | Physician Assistant | 205 S Main St, Suite A, Longmont, CO 80501-1716 | 2016-02-03 |
1144593872 | Nathaniel Foster | Physical Therapy Assistant | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2012-02-10 |
1881961316 | Front Range Eye Physicians PC | Ophthalmology | 205 S Main St, Suite D, Longmont, CO 80501-1716 | 2011-11-29 |
1033496179 | Scott Patric Sullivan | Specialist/Technologist | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2011-11-03 |
1376775023 | House Call Physicians, PC | Family Medicine | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2009-08-13 |
1760647333 | Evan Matthew Little | Physical Therapist | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2008-07-23 |
1467628404 | Twin Peaks Dermatology, PC | Dermatology | 205 S Main St, Suite E, Longmont, CO 80501-1716 | 2008-04-30 |
1659404952 | William Ford | Nurse Practitioner | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2007-03-14 |
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1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
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Taxonomy Code | 261QX0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Occupational Medicine |
Definition to come... |
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1053882688 | Injury Care Associates Thornton, LLC | Clinic/Center | 9351 Grant St Ste 600, Thornton, CO 80229-4373 | 2018-12-07 |
1508312380 | Monument Occupational Medicine PC | Clinic/Center | 9820 Palisade Ridge Dr, Colorado Springs, CO 80920-1490 | 2016-08-31 |
1821200528 | Occupational Medicine and Injury Clinic | Clinic/Center | 6870 W 52nd Ave, 201, Arvada, CO 80002-3951 | 2007-05-04 |
1841325974 | Poudre Valley Health Care Inc | Clinic/Center | 1330 Oakridge Dr, Fort Collins, CO 80525-5564 | 2007-02-22 |
1609911858 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 6750 Stapleton Drive South, Denver, CO 80216 | 2007-02-21 |
1982740486 | Union Medical, PC | Clinic/Center | 400 Indiana St Ste 280, Golden, CO 80401-5069 | 2007-01-30 |
1083765671 | Midtown Occupational Health Services,pc | Clinic/Center | 2420 W 26th Ave Ste 200d, Denver, CO 80211-5303 | 2007-01-12 |
1922114388 | Medically Based Fitness PC | Clinic/Center | 1690 30th St, Boulder, CO 80301-0000 | 2006-08-21 |
1508802406 | Michael V. Ladwig, M.d., P.C. | Clinic/Center | 6900 E 47th Avenue Dr, Suite 100, Denver, CO 80216-3463 | 2006-06-21 |
1104813484 | Northern Colorado Rehabilitation Hospital Inc | Clinic/Center | 4401 Union St, Loveland, CO 80537-2800 | 2005-10-03 |
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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.