DR. BEVERLY ELAINE DONNELLEY (NPI# 1053385492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053385492 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY ELAINE DONNELLEY |
| Other Name | BEVERLY JESSUP |
| Credential | MD |
| Practice Address |
1107 S Lemay Ave Suite 300 Fort Collins CO 80524-3957 |
| Practice Telephone | 9704937442 |
| Practice Fax Number | 9704932990 |
| Mailing Telephone | 9704937442 |
| Mailing Fax Number | 9704932990 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2009-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
24489 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01244896 | 05 | |
| BCBS | DO84038 | 01 | |
| PACIFICARE | 84059624501 | 01 |
| Street Address |
1107 S LEMAY AVE SUITE 300 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720089014 | Philip N. Priebe | Obstetrics & Gynecology | 1107 S Lemay Ave, Suite 300, Fort Collins, CO 80524-3957 | 2005-08-09 |
| 1649871880 | Poudre Valley Medical Group, LLC | Internal Medicine | 1107 S Lemay Ave, Fort Collins, CO 80524-3960 | 2020-11-04 |
| 1811372857 | Kimberly Ann Perez | Advanced Practice Midwife | 1107 S Lemay Ave, Suite 300, Fort Collins, CO 80524-3960 | 2015-07-20 |
| 1073938783 | Kristin Glenn | Lactation Consultant, Non-RN | 1107 S Lemay Ave, Suite 300, Fort Collins, CO 80524-3960 | 2014-03-04 |
| 1043633324 | Benjamin Miceli | Physician Assistant | 1107 S Lemay Ave, Suite 240, Fort Collins, CO 80524-3960 | 2014-01-22 |
| 1851727077 | Erin Trebon | Social Worker | 1107 S Lemay Ave, Ste 200, Fort Collins, CO 80524 | 2013-09-19 |
| 1790044667 | Peggy Ann Schlomer | Registered Nurse | 1107 S Lemay Ave, Ste 240, Fort Collins, CO 80524-3960 | 2012-05-11 |
| 1285924720 | Amber Elizabeth Steves | Family Medicine | 1107 S Lemay Ave, Suite 200, Fort Collins, CO 80524-3960 | 2011-04-18 |
| 1003110412 | Karen L Bertasso | Physician Assistant | 1107 S Lemay Ave, Ste 240, Fort Collins, CO 80524-3960 | 2010-12-28 |
| 1902100571 | Poudre Valley Medical Group, LLC | Neurological Surgery | 1107 S Lemay Ave, Suite 240, Fort Collins, CO 80524-3959 | 2010-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871567230 | Ransy Lee Jeffrey | Obstetrics & Gynecology | 1107 S Lemay Ave, Suite 300, Fort Collins, CO 80524-3957 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033056 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 1000 Granby Park Dr., Granby, CO 80446 | 2020-08-13 |
| 1437760790 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 360 Peak One Dr Ste 260, Frisco, CO 80443-5948 | 2020-08-11 |
| 1215440920 | Optimal Womens Care LLC | Obstetrics & Gynecology | 6169 S Balsam Way Ste 280, Littleton, CO 80123-3063 | 2017-11-16 |
| 1366984999 | Wallach Womens Wellness | Obstetrics & Gynecology | 1900 Little Raven St, Apt 522, Denver, CO 80202-7163 | 2016-11-14 |
| 1770905481 | Kate Skaggs, Inc | Obstetrics & Gynecology | 70 Benchmark Rd, Ste 203, Avon, CO 81620 | 2014-01-15 |
| 1588932008 | Ray Lee Gottesfeld | Obstetrics & Gynecology | 235 Ivy St, Denver, CO 80220-5865 | 2011-12-12 |
| 1154626109 | James A O'donnell, Md, PC | Obstetrics & Gynecology | 603 Sunny Acres Rd, Glenwood Springs, CO 81601-2886 | 2011-01-24 |
| 1699909408 | David Harris, M.d. P.C. | Obstetrics & Gynecology | 830 Potomac Cir Unit 275, Aurora, CO 80011-6797 | 2009-05-07 |
| 1972741627 | Jaqmes W Neisler | Obstetrics & Gynecology | 1490 S Elizabeth St, Denver, CO 80210-2423 | 2009-02-02 |
| 1669661062 | Beverly Ellen Tew | Obstetrics & Gynecology | 1500 Park Central Dr, Highlands Ranch, CO 80129-6688 | 2007-10-22 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on DR. BEVERLY ELAINE DONNELLEY.
| 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.