BANNER HEALTH PHYSICIANS COLORADO LLC (NPI# 1033470737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033470737 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH PHYSICIANS COLORADO LLC |
| Practice Address |
222 Johnstown Center Dr Johnstown CO 80534-9030 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9705874974 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2013-06-11 |
| Authorized Official Name | DENNIS DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER MEDICAL GROUP COLORADO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659882272 | Banner Health Physicians Colorado LLC | Clinic/Center | 7859 6th Street, Wellington, CO 80549 | 2017-10-23 |
| 1346794393 | Banner Health Physicians Colorado LLC | Clinic/Center | 1800 15th St Ste G10, Greeley, CO 80631-4595 | 2016-08-08 |
| 1568840742 | Banner Health Physicians Colorado LLC | Clinic/Center | 5890 W 13th St Ste 104, Greeley, CO 80634-4821 | 2015-05-08 |
| 1730598749 | Banner Health Physicians Colorado LLC | Clinic/Center | 2555 E 13th St Ste 230, Loveland, CO 80537-5133 | 2014-08-05 |
| 1972842607 | Banner Health Physicians Colorado LLC | Clinic/Center | 1405 S 8th Ave Ste 104, Sterling, CO 80751-4560 | 2013-01-31 |
| 1487918728 | Banner Health Physicians Colorado LLC | Clinic/Center | 6801 W 20th St Unit 201, Greeley, CO 80634-9640 | 2012-07-02 |
| 1376806711 | Banner Health Physicians Colorado LLC | Clinic/Center | 8201 Spinnaker Bay Dr Ste D, Windsor, CO 80528-7534 | 2012-06-20 |
| 1174884274 | Banner Health Physicians Colorado LLC | Clinic/Center | 608 E Harmony Rd Ste 101, Fort Collins, CO 80525-3210 | 2012-06-05 |
| 1942576061 | Banner Health Physicians Colorado LLC | Clinic/Center | 1900 Boise Ave Ste 300, Loveland, CO 80538-5004 | 2012-03-23 |
| 1487926903 | Banner Health Physicians Colorado LLC | Clinic/Center | 615 Fairhurst, Sterling, CO 80751-4523 | 2012-01-30 |
| Street Address |
222 JOHNSTOWN CENTER DR |
| City | JOHNSTOWN |
| State | CO |
| Zip Code | 80534-9030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467412650 | Thomas A Kenigsberg | Family Medicine | 222 Johnstown Center Dr, Johnstown, CO 80534-9030 | 2006-03-23 |
| 1558871442 | Kelsey Figg Fifield | Physical Therapist | 222 Johnstown Center Dr, Johnstown, CO 80534-9030 | 2017-10-04 |
| 1285173229 | Victoria Flood | Physical Therapist | 222 Johnstown Center Dr, Johnstown, CO 80534-9030 | 2017-02-22 |
| 1629513767 | Krista Lee Plate | Nurse Practitioner | 222 Johnstown Center Dr, Johnstown, CO 80534-9030 | 2016-12-28 |
| 1366601700 | Courtney Beth Isley | Family Medicine | 222 Johnstown Center Dr, Johnstown, CO 80534-9030 | 2008-06-02 |
| 1386817880 | Banner Medical Group Greeley LLC | Clinic/Center | 222 Johnstown Center Dr, Johnstown, CO 80534-9030 | 2008-04-07 |
| 1619905296 | Johnstown Family Physicians | Clinic/Center | 222 Johnstown Center Dr, Johnstown, CO 80534-9030 | 2006-06-30 |
| 1033179981 | Joseph Edwin Gregory | Family Medicine | 222 Johnstown Center Dr, Johnstown, CO 80534-9030 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299410 | Bauer Occupational Therapy, LLC | Occupational Therapist | 442 La Costa Ln, Johnstown, CO 80534 | 2017-11-17 |
| 1942698071 | Family Physicians of Greeley, LLP | Family Medicine | 473 Castle Pines Ave, Suite 1, Johnstown, CO 80534 | 2014-12-23 |
| 1376761924 | Steven L Martin | Dentist | 5 N. Parish Ave., Johnstown, CO 80534 | 2007-04-20 |
| 1699896613 | Ashlea Elizabeth Franques | Pediatrics | 4435 Ronald Reagan Blvd, Johnstown, CO 80534 | 2007-04-03 |
| 1720069198 | Kenneth A Pettine | Orthopaedic Surgery | 4795 Larimer Parkway, Johnstown, CO 80534 | 2005-11-10 |
| 1043858251 | Kristen Mcfarland | Physical Therapist | 247 Mountain Avenue, Berthoud, CO 80534 | 2019-12-18 |
| 1841780400 | Colorado Rehabilitation Associates LLC | Physical Medicine & Rehabilitation | 4401 Union St, Johnstown, CO 80534 | 2018-05-18 |
| 1073059523 | Santibanez Aguirre PC | Hospitalist | 4401a Union Street, Johnstown, CO 80534 | 2017-01-09 |
| 1811142524 | 25/34 Plastic Surgery Associates, PC | Specialist | 4450 Union St., Suite 100, Johnstown, CO 80534-0001 | 2008-11-21 |
| 1790794824 | Marc Anthony Masotti | Internal Medicine | 4401a Union St, Johnstown, CO 80534-2800 | 2006-08-07 |
| Find all providers in zip 80534 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427467638 | Advanced Care Hospital of Northern Colorado LLC | Clinic/Center | 4401a Union St, Johnstown, CO 80534-2800 | 2014-08-13 |
| 1386817880 | Banner Medical Group Greeley LLC | Clinic/Center | 222 Johnstown Center Dr, Johnstown, CO 80534-9030 | 2008-04-07 |
| 1356480982 | Adamson Medical Corporation PC | Clinic/Center | 4401 Union St, Johnstown, CO 80534-2800 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235127 | Matthews-vu Medical Group, P.C. | Clinic/Center | 4190 E Woodmen Rd Ste 230, Colorado Springs, CO 80920-8075 | 2020-11-06 |
| 1811596497 | Eye Associates of Colorado Springs, PC | Clinic/Center | 7075 Campus Dr Ste 100, Colorado Springs, CO 80920-6524 | 2020-10-23 |
| 1477169670 | Yampa Valley Medical Center | Clinic/Center | 136 Lincoln Ave, Steamboat Springs, CO 80487 | 2020-09-22 |
| 1467067702 | Western Infectious Disease Consultants, P.C. | Clinic/Center | 1551 Professional Ln Unit 280, Longmont, CO 80501-6965 | 2020-09-14 |
| 1932714714 | Silver Linings House Calls LLC | Clinic/Center | 5040 Shelby Dr, Castle Rock, CO 80104-5433 | 2020-09-09 |
| 1538774377 | Kremmling Memorial Hospital District | Clinic/Center | 1000 Granby Park South, Granby, CO 80446-8900 | 2020-09-09 |
| 1396356325 | Yampa Valley Medical Center | Clinic/Center | 940 Central Park Dr Ste 207, Steamboat Springs, CO 80487-8853 | 2020-08-13 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1609400407 | Pure Healthcare of Colorado LLC | Clinic/Center | 320 E Fontanero St Ste 103, Colorado Springs, CO 80907-7535 | 2020-03-02 |
| 1073146833 | Boulder Medical Center, P.C. | Clinic/Center | 89 S Briggs St Ste 105, Erie, CO 80516-4063 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BANNER HEALTH PHYSICIANS COLORADO LLC.
| 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.