LONGMONT CLINIC PC


Address: 1925 W Mountain View Ave, Longmont, CO 80501-3128
Phone: 7204943173

LONGMONT CLINIC PC (NPI# 1043269772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043269772
Entity Type Organization
Organization Name LONGMONT CLINIC PC
Practice Address 1925 W Mountain View Ave
Longmont
CO 80501-3128
Practice Telephone 7204943173
Practice Fax Number 7204943107
Mailing Telephone 7204943173
Mailing Fax Number 7204943107
Enumeration Date 2006-05-09
Last Update Date 2013-12-12
Authorized Official Name JOHN P. STATHIS (PRESIDENT, BOARD OF DIRECTORS)
Authorized Official Telephone 7204943173
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO MEDICARE GROUP NUMBER 44008 01

Office Location

Street Address 1925 W MOUNTAIN VIEW AVE
City LONGMONT
State CO
Zip Code 80501-3128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467456889 Marie Bush Internal Medicine 1925 W Mountain View Ave, Longmont, CO 80501-3128 2005-06-13
1871893818 Kimberly J Welch Dietitian, Registered 1925 W Mountain View Ave, Longmont, CO 80501-3128 2010-10-25
1225351844 Sheryl A Bachman Dietitian, Registered 1925 W Mountain View Ave, Longmont, CO 80501-3128 2010-03-10
1285812958 Vanessa Lea Pomfret Registered Nurse 1925 W Mountain View Ave, Longmont, CO 80501-3128 2008-02-05
1063600096 Katherine Dueber Pediatrics 1925 W Mountain View Ave, Longmont, CO 80501-3128 2007-10-03
1235277104 Robert J Moffat Internal Medicine 1925 W Mountain View Ave, Longmont, CO 80501-3128 2007-02-02
1285799056 Abby C Emdur Otolaryngology 1925 W Mountain View Ave, Longmont, CO 80501-3128 2006-12-22
1184675258 Jalpa B Kim Obstetrics & Gynecology 1925 W Mountain View Ave, Longmont, CO 80501-3128 2006-05-13
1689635609 Janelle C Laughlin Internal Medicine 1925 W Mountain View Ave, Longmont, CO 80501-3128 2006-03-29
1770550899 Melinda A Gehrs Physical Medicine & Rehabilitation 1925 W Mountain View Ave, Longmont, CO 80501-3128 2006-03-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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 Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891206694 Summit Wellness Group Inc General Practice 7337 E County Line Rd, Longmont, CO 80504-8430 2017-10-19
1487800363 Gary Fishel Gansar General Practice 8480 Haystack Ct, Longmont, CO 80503-7292 2008-08-12
1366465866 Longmont United Hospital General Practice 1950 W Mountain View Ave, Longmont, CO 80501-3129 2006-07-25
1154937282 Poudre Valley Medical Group, LLC General Practice 2900 Peak Ave, Longmont, CO 80504-6236 2020-09-23
1942822036 Poudre Valley Medical Group, LLC General Practice 1750 E Ken Pratt Blvd, Longmont, CO 80504-5311 2020-05-12
1003359118 Vcphcs X, LLC General Practice 850 23rd Ave, Unit A, Longmont, CO 80501-1114 2016-11-21
1093194755 Joel Roberts General Practice 1351 Collyer St, Longmont, CO 80501 2015-05-27
1598932279 Longmont United Hospital General Practice 1950 W Mountain View Ave, Longmont, CO 80501-3129 2008-05-13
1871620880 Roberta L Shanahan General Practice 2345 Bent Way, Longmont, CO 80503-7614 2007-02-27
1669509626 Kristi L Killgore General Practice 2345 Bent Way, Longmont, CO 80503-7614 2007-02-27
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Competitor

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City LONGMONT
Zip Code 80501

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Dataset Information

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.

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