DR. LYNN MARIE CARLYLE (NPI# 1023320611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023320611 |
| Entity Type | Individual |
| Full Name | DR. LYNN MARIE CARLYLE |
| Credential | M.D. |
| Practice Address |
1750 E Ken Pratt Blvd Longmont CO 80504-5311 |
| Practice Telephone | 7204943117 |
| Practice Fax Number | 3034853348 |
| Mailing Telephone | 7204943117 |
| Mailing Fax Number | 3034853348 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | DR.0059129 | CO | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 4301097300 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
DR.0059129 | CO | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
DR.0059129 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000150154 | 05 |
| Street Address |
1750 E KEN PRATT BLVD |
| City | LONGMONT |
| State | CO |
| Zip Code | 80504-5311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518954866 | Konoy Mandal | Psychiatry & Neurology | 1750 E Ken Pratt Blvd, Longmont, CO 80504-5311 | 2005-10-03 |
| 1306447180 | Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | 1750 E Ken Pratt Blvd, Longmont, CO 80504-5311 | 2020-11-06 |
| 1891396990 | Alan E Benson, Md, PC | Specialist | 1750 E Ken Pratt Blvd, Longmont, CO 80504-5311 | 2020-11-04 |
| 1912506767 | Poudre Valley Medical Group, LLC | Social Worker | 1750 E Ken Pratt Blvd, Longmont, CO 80504-5311 | 2020-10-22 |
| 1538775812 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 1750 E Ken Pratt Blvd, Longmont, CO 80504-5311 | 2020-09-22 |
| 1942822036 | Poudre Valley Medical Group, LLC | General Practice | 1750 E Ken Pratt Blvd, Longmont, CO 80504-5311 | 2020-05-12 |
| 1548880693 | Daniel Hauser | Respiratory Therapist, Registered | 1750 E Ken Pratt Blvd, Longmont, CO 80504-5311 | 2020-04-19 |
| 1487299707 | Kathryn E King | Social Worker | 1750 E Ken Pratt Blvd, Longmont, CO 80504-5311 | 2019-11-11 |
| 1225684145 | Katherine Anne Dibattisto | Social Worker | 1750 E Ken Pratt Blvd, Longmont, CO 80504-5311 | 2019-08-15 |
| 1285133819 | Emergency Physicians of The Rockies, PC | Emergency Medicine | 1750 E Ken Pratt Blvd, Longmont, CO 80504-5311 | 2018-02-09 |
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| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427060383 | Daniel S White | Internal Medicine | 2101 Ken Pratt Blvd Ste 104, Longmont, CO 80501-6568 | 2006-08-12 |
| 1427678267 | Poudre Valley Medical Group, LLC | Internal Medicine | 1750 E Ken Pratt Blvd Fl 3, Longmont, CO 80504-5311 | 2020-04-22 |
| 1336769173 | Poudre Valley Medical Group, LLC | Internal Medicine | 2030 Mountain View Ave Ste 540, Longmont, CO 80501-3183 | 2020-04-22 |
| 1619597739 | Poudre Valley Medical Group, LLC | Internal Medicine | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-04-18 |
| 1992798243 | Imran Zubair | Internal Medicine | 2030 Mountain View Ave, Ste 300, Longmont, CO 80501-3178 | 2005-08-23 |
| 1417957416 | John Abboud | Internal Medicine | 2030 Mountain View Ave, Ste 300, Longmont, CO 80501-3178 | 2005-08-01 |
| 1902803174 | John Stathis | Internal Medicine | 1925 W Mountain View Ave, Longmont, CO 80501-3128 | 2005-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604257 | Healthone Heart Care LLC | Internal Medicine | 310 County Rd, Suite 14, Del Norte, CO 81132 | 2020-09-21 |
| 1659987063 | Healthone Heart Care LLC | Internal Medicine | 1444 S Potomac St Ste 310, Aurora, CO 80012-4508 | 2020-09-21 |
| 1225644834 | Healthone Heart Care LLC | Internal Medicine | 1421 S Potomac St Ste 315, Aurora, CO 80012-4512 | 2020-09-18 |
| 1750995247 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 32135 Castle Ct Ste 100a, Evergreen, CO 80439-8005 | 2020-09-02 |
| 1518570977 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 1960 N Ogden St Ste 540a, Denver, CO 80218-3666 | 2020-08-26 |
| 1982213328 | Catholic Health Initiatives Colorado | Internal Medicine | 1000 Granby Park Dr, Granby, CO 80446-0000 | 2020-07-30 |
| 1437768009 | Catholic Health Initiatives Colorado | Internal Medicine | 920 Rush Dr Ste A, Salida, CO 81201-9669 | 2020-07-29 |
| 1437768124 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 3655 Lutheran Pkwy Ste 201, Wheat Ridge, CO 80033-6010 | 2020-07-28 |
| 1952927527 | Platte Valley Medical Group, LLC | Internal Medicine | 1610 Prairie Center Pkwy Ste 2330, Brighton, CO 80601-4003 | 2020-06-19 |
| 1013539113 | Poudre Valley Medical Group, LLC | Internal Medicine | 328 S Bonaventure Ave Ste 2, Trinidad, CO 81082-2086 | 2020-05-12 |
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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.