GREELEY XRAY GROUP PC (NPI# 1053341008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053341008 |
| Entity Type | Organization |
| Organization Name | GREELEY XRAY GROUP PC |
| Practice Address |
5890 W 13th St Suite 104 Greeley CO 80634-4821 |
| Mailing Address |
Po Box 336940 Greeley CO 80633-0616 |
| Practice Telephone | 9703925400 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-09-02 |
| Authorized Official Name | SUSAN FISCHER (OFFICE MANAGER) |
| Authorized Official Telephone | 9703818677 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04106084 | 05 | |
| WY | 117621800 | 05 | |
| CO | BCBS | G3008 | 01 |
| Street Address |
5890 W 13TH ST SUITE 104 |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609850056 | Thomas J Pazik | Orthopaedic Surgery | 5890 W 13th St, Ste 101, Greeley, CO 80634-4821 | 2005-11-30 |
| 1184257883 | Rocky Mountain State Anesthesia Providers | Anesthesiology | 5890 W 13th St, Greeley, CO 80634-4821 | 2020-02-20 |
| 1578103750 | North Colorado Medical Center | Clinic/Center | 5890 W 13th St, Greeley, CO 80634-4821 | 2020-01-15 |
| 1316399686 | Randall Scott Sims | Social Worker | 5890 W 13th St, Sutie 114, Greeley, CO 80634-4821 | 2016-07-11 |
| 1417296773 | Banner Anesthesiologists Colorado LLC | Clinic/Center | 5890 W 13th St, Ste 102, Greeley, CO 80634-4821 | 2013-02-06 |
| 1821336769 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 5890 W 13th St, Ste 104, Greeley, CO 80634-4821 | 2013-01-28 |
| 1033474143 | Daniel Anthony Veronie | Physician Assistant | 5890 W 13th St, Suite 101, Greeley, CO 80634-4821 | 2012-07-05 |
| 1316263551 | Banner Imaging Associates of North Colorado | Clinic/Center | 5890 W 13th St, Greeley, CO 80634-4821 | 2010-04-13 |
| 1659694743 | Banner Greeley Specialists | Clinic/Center | 5890 W 13th St, Ste 106, Greeley, CO 80634-4821 | 2010-03-04 |
| 1457594210 | Banner Mountain Vista Orthopaedic Medical Clinic | Clinic/Center | 5890 W 13th St, Ste 101, Greeley, CO 80634-4821 | 2009-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396085379 | Carey Ann Chapman | Specialist | 1831 13th St, Greeley, CO 80631-4549 | 2013-02-27 |
| 1548513666 | Alison Jones | Specialist | 1120 38th Ave Ste 1, Greeley, CO 80634-2579 | 2012-10-26 |
| 1780904771 | Yvonne Sofia Dunn | Specialist | 4635 W 20th Street Rd, Greeley, CO 80634-3246 | 2010-06-02 |
| 1720283914 | Surgical Clinic of Greeley, PC | Specialist | 6801 W. 20th St, Suite 202, Greeley, CO 80634 | 2007-06-18 |
| 1679797732 | Surgical Associates of Greeley | Specialist | 1800 15th St Ste 210, Greeley, CO 80631-4563 | 2007-04-12 |
| 1609918333 | Zachary Michael Meiu | Specialist | 3400 W. 16th Street, Greeley, CO 80634 | 2007-02-12 |
| 1689607491 | Christopher S Michael | Specialist | 16696 Cr 70, Greeley, CO 80631 | 2006-07-08 |
| 1548221344 | Jeffrey S Lee | Specialist | 1500 16th Avenue Ct, Greeley, CO 80631-4539 | 2006-03-31 |
| 1417920489 | Orest G Dubynsky | Specialist | 1601 25th Ave, Greeley, CO 80634-4907 | 2006-02-09 |
| 1942295241 | Paul S Hiratzka | Specialist | 2410 W 16th St, Greeley, CO 80634-6004 | 2005-09-13 |
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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.