IAN SEBASTIAN BACH (NPI# 1003895293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003895293 |
| Entity Type | Individual |
| Full Name | IAN SEBASTIAN BACH |
| Credential | M.D. |
| Practice Address |
12169 Sheridan Blvd Broomfield CO 80020-2459 |
| Mailing Address |
500 Eldorado Blvd Ste 6250 Broomfield CO 80021-3421 |
| Practice Telephone | 3036039400 |
| Practice Fax Number | 3036039420 |
| Mailing Telephone | 3032720768 |
| Mailing Fax Number | 3033182488 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2013-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35490 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04020541 | 05 | |
| CO | 01354901 | 05 | |
| CO | GROUP NPI # | 1215981634 | 01 |
| CO | NPI # | 1003895293 | 01 |
| CO | AETNA | 7201056 | 01 |
| CO | RKY MTN HMO | 841365302036 | 01 |
| CO | PACIFICARE | 84136530238 | 01 |
| CO | CIGNA | 276029 | 01 |
| CO | PACIFICARE PPO | 84136530263 | 01 |
| CO | GROUP ANTHEM BCBS | RO103008 | 01 |
| CO | RAILROAD MEDICARE # | 080186089 | 01 |
| CO | ANTHEM BCBS | BA645053 | 01 |
| Street Address |
12169 SHERIDAN BLVD |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80020-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497367213 | Scl Health Medical Group - Denver, LLC | Preventive Medicine | 12169 Sheridan Blvd, Broomfield, CO 80020-2459 | 2020-08-21 |
| 1447785787 | Lauren Thompson | Family Medicine | 12169 Sheridan Blvd, Broomfield, CO 80020-2459 | 2017-04-24 |
| 1548603806 | Gregory Alan Klob | Pharmacist | 12169 Sheridan Blvd, Broomfield, CO 80020-2459 | 2013-04-16 |
| 1053488007 | Matthew Aaron Liebentritt | Family Medicine | 12169 Sheridan Blvd, Broomfield, CO 80020-2459 | 2006-11-28 |
| 1366481707 | Cindy F Vair | Physical Therapist | 12169 Sheridan Blvd, Broomfield, CO 80020-2459 | 2006-06-04 |
| 1225094246 | Timothy M Lewan | Family Medicine | 12169 Sheridan Blvd, Broomfield, CO 80020-2459 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| 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 |
|---|---|---|---|---|
| 1760090146 | Scl Health Medical Group - Denver, LLC | Family Medicine | 2055 W 136th Ave Ste B118, Broomfield, CO 80023-9308 | 2020-07-21 |
| 1336513969 | Paladina Health, LLC | Family Medicine | 12202 Airport Way Ste 170, Broomfield, CO 80021-2588 | 2015-11-19 |
| 1851779169 | Stone Mountain Healthcare, PC | Family Medicine | 14774 Fenton St, Broomfield, CO 80020-6116 | 2015-05-07 |
| 1962709246 | Jose Edmundo Manrique Mercado | Family Medicine | 11278 Colony Cir, Broomfield, CO 80021-4105 | 2011-02-22 |
| 1346475209 | Christine Marie Maren | Family Medicine | 8181 Arista Pl Unit 100, Broomfield, CO 80021 | 2009-05-21 |
| 1942456934 | Gerald Arlen Huggins | Family Medicine | 12633 Irving Circle, Complete Family Care, Broomfield, CO 80020 | 2008-08-11 |
| 1790955185 | Kristianna K. Roberts | Family Medicine | 340 E 1st Ave Ste 101, Broomfield, CO 80020-2401 | 2008-03-03 |
| 1952593873 | Family Practice Associates PC | Family Medicine | 433 Summit Blvd Unit 201, Broomfield, CO 80021-8299 | 2007-08-14 |
| 1790723062 | Rachel Bos | Family Medicine | 1995 W Midway Blvd, Broomfield, CO 80020-1640 | 2006-06-02 |
| 1457306862 | Family Medicine Associates, PC | Family Medicine | 1022 Depot Hill Rd, Broomfield, CO 80020-1068 | 2006-05-24 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80020 |
Please comment or provide details below to improve the information on IAN SEBASTIAN BACH.
| 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.