LAKE LOVELAND DERMATOLOGY PC (NPI# 1073114948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073114948 |
| Entity Type | Organization |
| Organization Name | LAKE LOVELAND DERMATOLOGY PC |
| Practice Address |
1683 Main St Windsor CO 80550-7921 |
| Mailing Address |
Po Box 7643 Loveland CO 80537-0643 |
| Practice Telephone | 9706673116 |
| Practice Fax Number | 9706690159 |
| Mailing Telephone | 9706632742 |
| Mailing Fax Number | 9703422093 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | KEVIN JOHN MOTT (OWNER) |
| Authorized Official Telephone | 3035697700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033138 | Lake Loveland Dermatology PC | Dermatology | 555 Prospect Ave, Estes Park, CO 80517-6312 | 2020-11-05 |
| 1700487675 | Lake Loveland Dermatology PC | Dermatology | 1101 Oakridge Dr, Fort Collins, CO 80525-5528 | 2020-11-05 |
| 1437750304 | Lake Loveland Dermatology PC | Dermatology | 1405 S 8th Ave Ste 102, Sterling, CO 80751-4560 | 2020-11-05 |
| 1679646582 | Lake Loveland Dermatology PC | Dermatology | 1708 Boise Ave, Loveland, CO 80538-4204 | 2006-11-16 |
| Street Address |
1683 MAIN ST |
| City | WINDSOR |
| State | CO |
| Zip Code | 80550-7921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396721080 | Ian D Brickl | Family Medicine | 1683 Main St, Windsor, CO 80550-7921 | 2005-12-15 |
| 1578098299 | Jamie E Holland | Family Medicine | 1683 Main St, Windsor, CO 80550-7921 | 2017-05-01 |
| 1144770041 | Associates In Family Medicine, P.C. | Clinic/Center | 1683 Main St, Windsor, CO 80550-7921 | 2016-10-04 |
| 1942615471 | Zachary Devilbiss | Family Medicine | 1683 Main St, Windsor, CO 80550-7921 | 2014-06-23 |
| 1477850311 | Michele Renee Cain | Physician Assistant | 1683 Main St, Windsor, CO 80550-7921 | 2011-02-11 |
| 1538390828 | Karolyn Renee Martinkus | Physician Assistant | 1683 Main St, Windsor, CO 80550-7921 | 2009-08-04 |
| 1487812368 | Elizabeth J Maes | Family Medicine | 1683 Main St, Windsor, CO 80550-7921 | 2008-05-28 |
| 1225242225 | Margaret Ruth Lesage | Family Medicine | 1683 Main St, Windsor, CO 80550-7921 | 2007-05-09 |
| 1750479200 | Joseph Robert Kauffman | Chiropractor | 1683 Main St, Windsor, CO 80550-7921 | 2006-10-10 |
| 1659338994 | Angela S Walter | Family Medicine | 1683 Main St, Windsor, CO 80550-7921 | 2006-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294502 | Beyond Milestones Occupational Therapy, LLC | Occupational Therapist | 1021 Canal Dr, Windsor, CO 80550 | 2020-10-30 |
| 1114422706 | Noco Healing Homes LLC | Home Health | 541 Garden Drive, Unit O, Suite 100, Windsor, CO 80550 | 2018-03-27 |
| 1629592803 | Karly Yingst | Nurse Practitioner | 1516 Morning Glow Dr, Windsor, CO 80550 | 2017-07-31 |
| 1053766469 | Mary Jennifer Lewis | Counselor | 1473 Moraine Valley Dr, Severance, CO 80550 | 2016-05-04 |
| 1225413461 | Joshua Chad Kelly | Dentist | 375 W 4th Ave, Severance, CO 80550 | 2015-07-29 |
| 1861896169 | Tamara Percifield | Dental Hygienist | 651 Babine Ct, Windsor, CO 80550 | 2014-10-15 |
| 1740541952 | Tender Hearts Home Healthcare, LLC | Home Health | 201 10th Street, Windsor, CO 80550 | 2012-06-04 |
| 1831474931 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 9299 Eastman Park Drive, Windsor, CO 80550 | 2011-10-20 |
| 1366736357 | Brandon Lars Nielson | Dentist | 1297 Main St., Suite3, Windsor, CO 80550 | 2011-06-07 |
| 1255661096 | Duy Duy Thuc Tran | Physician Assistant | 1455 Main St Ste 150, Windsor, CO 80550 | 2009-12-29 |
| Find all providers in zip 80550 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685894 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 1332 Bauer Ln, Canon City, CO 81212-4669 | 2020-10-02 |
| 1891392973 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 2060 Briargate Pkwy Ste 150, Colorado Springs, CO 80920-7660 | 2020-10-02 |
| 1033723465 | Inspired Dermatology, Pllc | Dermatology | 6050 Greenwood Plaza Blvd Ste 130, Greenwood Village, CO 80111-4823 | 2020-09-02 |
| 1700496668 | Sorkin Dermatology Associates Professional LLC | Dermatology | 1960 N. Ogden Street, Suite 555, Denver, CO 80218-3602 | 2020-08-05 |
| 1194340802 | Epiphany Dermatology of Colorado, LLC | Dermatology | 2530 N 8th St Ste 205, Grand Junction, CO 81501-8858 | 2020-06-09 |
| 1861026189 | University Physicians Incorporated | Dermatology | 14305 E Alameda Ave Ste 225, Aurora, CO 80012-2549 | 2020-02-25 |
| 1316577323 | Medical Man Cave Pllc | Dermatology | 250 Steele Street, Suite 350, Denver, CO 80206-5242 | 2020-01-17 |
| 1124664248 | Allison Marquis | Dermatology | 4350 Limelight Ave Ste 205, Castle Rock, CO 80109-8034 | 2019-11-24 |
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1326521576 | Kaitlyn Laurel Pell | Dermatology | 125 Inverness Dr E Ste 340, Englewood, CO 80112-5139 | 2018-09-13 |
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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.