DR. BRAD ROBIN BAACK (NPI# 1104856061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104856061 |
Entity Type | Individual |
Full Name | DR. BRAD ROBIN BAACK |
Credential | M.D. |
Practice Address |
1120 E Elizabeth St Suite G-2 Fort Collins CO 80524-4044 |
Practice Telephone | 9704846303 |
Practice Fax Number | 9704846908 |
Mailing Telephone | 9704846303 |
Mailing Fax Number | 9704846908 |
Enumeration Date | 2006-07-04 |
Last Update Date | 2009-10-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 39315 | CO | Allopathic & Osteopathic Physicians |
N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
39315 | CO | Allopathic & Osteopathic Physicians |
N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
39315 | CO | Allopathic & Osteopathic Physicians |
N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
39315 | CO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 17283779 | 05 |
Street Address |
1120 E ELIZABETH ST SUITE G-2 |
City | FORT COLLINS |
State | CO |
Zip Code | 80524-4044 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396736641 | Richard Wilson Lindeberg | Dentist | 1120 E Elizabeth St, Fort Collins, CO 80524-4044 | 2005-11-03 |
1144607540 | Melissa Marie Headley | Audiologist | 1120 E Elizabeth St, Ste F101, Fort Collins, CO 80524-4044 | 2015-05-05 |
1942595814 | Blake J Hyde | Otolaryngology | 1120 E Elizabeth St, Ste F101, Fort Collins, CO 80524-4044 | 2011-06-18 |
1871814236 | Emily K Stevens | Dermatology | 1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044 | 2010-06-18 |
1326232588 | Aaron Thomas Mcgrew | Physician Assistant | 1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044 | 2007-08-30 |
1831239094 | Andrew H Kalajian | Dermatology | 1120 E Elizabeth St, Building G, Suite 2, Fort Collins, CO 80524-4044 | 2007-02-07 |
1780690487 | Bret Baack | Dermatology | 1120 E Elizabeth St, G-2, Fort Collins, CO 80524-4044 | 2006-08-01 |
1104856079 | Tiffany Alaire Serell | Physician Assistant | 1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044 | 2006-07-04 |
1316977374 | Clinton Paul Sayers | Dermatology | 1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044 | 2006-07-04 |
1861421109 | Rachel Condon White | Audiologist | 1120 E Elizabeth St, F-101, Fort Collins, CO 80524-4044 | 2006-06-30 |
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 | 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 |
---|---|---|---|---|
1144776238 | Colorado Dermatology Group, Pllc | Dermatology | 3609 S Timberline Rd Unit A, Fort Collins, CO 80525-3430 | 2016-08-29 |
1225213432 | Joseph Vincent Lillis | Dermatology | 2121 E. Harmony Rd, Suite 270, Fort Collins, CO 80528-3402 | 2008-01-07 |
1972521581 | Joseph Lee Wilde | Dermatology | 4038 Timberline Rd., Suite 100, Fort Collins, CO 80525 | 2006-07-18 |
1306812318 | Barbara Lynn West | Dermatology | 3726 S Timberline Rd, Suite 101, Fort Collins, CO 80525-3483 | 2006-02-28 |
1700487675 | Lake Loveland Dermatology PC | Dermatology | 1101 Oakridge Dr, Fort Collins, CO 80525-5528 | 2020-11-05 |
1710370648 | Advanced Dermatology of Colorado, PC | Dermatology | 1100 Poudre River Dr Unit A, Fort Collins, CO 80524-3557 | 2015-03-17 |
1851683106 | Tiffany Marie Link | Dermatology | 1100 Poudre River Dr, Unit A, Fort Collins, CO 80524-3557 | 2011-05-04 |
1871814236 | Emily K Stevens | Dermatology | 1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044 | 2010-06-18 |
1831239094 | Andrew H Kalajian | Dermatology | 1120 E Elizabeth St, Building G, Suite 2, Fort Collins, CO 80524-4044 | 2007-02-07 |
1063593184 | Brooke Ann Caufield | Dermatology | 2121 E Harmony Rd, Suite 270, Fort Collins, CO 80528-3400 | 2006-10-17 |
Find all providers in FORT COLLINS |
City | FORT COLLINS |
Zip Code | 80524 |
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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.