WIND RIVER PAIN MANAGEMENT, LLC (NPI# 1104992296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104992296 |
Entity Type | Organization |
Organization Name | WIND RIVER PAIN MANAGEMENT, LLC |
Practice Address |
5873 Highland Hills Cir Fort Collins CO 80528-8941 |
Practice Telephone | 9704209904 |
Mailing Telephone | 9704209904 |
Enumeration Date | 2006-11-28 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JAMES ALAN DERRISAW (CEO) |
Authorized Official Telephone | 9704209904 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP3300X |
Clinic/Center Specialization: Pain |
39525 | CO | Ambulatory Health Care Facilities |
Street Address |
5873 HIGHLAND HILLS CIR |
City | FORT COLLINS |
State | CO |
Zip Code | 80528-8941 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
Find all providers in zip 80528 |
Taxonomy Code | 261QP3300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Pain |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992202881 | Error | Clinic/Center | 8800 Ralston Rd Ste 204, Arvada, CO 80002-2249 | 2018-04-09 |
1669849188 | Encompass Massage LLC | Clinic/Center | 9048 Vance St Apt 309, Westminster, CO 80021-7009 | 2015-09-01 |
1578953634 | Prodynamics Sports & Therapeutic Massage | Clinic/Center | 6180 S Gun Club Rd Unit L4, Aurora, CO 80016-5310 | 2015-01-28 |
1093111064 | Pomegranate Consulting, LLC | Clinic/Center | 8189 E 28th Pl, Denver, CO 80238-2507 | 2014-11-18 |
1477824753 | Osteoarthritis Centers of America Medical Group PC | Clinic/Center | 444 E Pikes Peak Ave, Suite 100, Colorado Springs, CO 80903-3689 | 2012-01-19 |
1992039721 | Pain Care Center,llc | Clinic/Center | 2140 Hollow Brook Dr, Suite 110, Colorado Springs, CO 80918-1452 | 2009-09-27 |
1912053570 | Belmar Ambulatory Surgical Center, LLC | Clinic/Center | 325 S Teller St Ste 200, Lakewood, CO 80226-7389 | 2007-01-26 |
1215083886 | Pain Treatment Centers, LLC | Clinic/Center | 1625 Medical Center Pt Ste 240, Colorado Springs, CO 80907-8721 | 2007-01-26 |
1770132599 | Mountain Health and Wellness Pllc | Clinic/Center | 677 S Colorado Blvd Ste 100, Denver, CO 80246-8019 | 2019-09-04 |
1386200269 | Bpersons Crna Pllc | Clinic/Center | 630 Southpointe Ct Ste 107, Colorado Springs, CO 80906-3800 | 2019-05-15 |
Find all providers with the same taxonomy |
City | FORT COLLINS |
Zip Code | 80528 |
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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.