COLORADO PERMANENTE MEDICAL GROUP, P.C. (NPI# 1164875431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164875431 |
| Entity Type | Organization |
| Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Other Organization Name | KAISER PERMANENTE GREELEY MEDICAL OFFICES |
| Practice Address |
2429 35th Ave Greeley CO 80634-4171 |
| Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | MATTHEW J SPLINTER (CPMG CFO) |
| Authorized Official Telephone | 3033447345 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04710083 | 05 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Greeley Medical Offices | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336775469 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 3920 N Union Blvd, Colorado Springs, CO 80907-4900 | 2020-03-20 |
| 1952937039 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 14701 E Exposition Ave, Aurora, CO 80012-2623 | 2020-03-20 |
| 1851927933 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2020-03-20 |
| 1669008744 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2020-03-20 |
| 1639641152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 2625 W Pueblo Blvd, Pueblo, CO 80014-5833 | 2018-12-21 |
| 1083161152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 | 2016-09-07 |
| 1932655099 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 56 Edwards Village Blvd, Ste 208, Edwards, CO 81632-7802 | 2016-08-29 |
| 1487100541 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 215 S Parkside Dr, Ste 215, Colorado Springs, CO 80910-3131 | 2016-08-29 |
| 1205382363 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 1136 E Stuart St, Bldg 3, 2nd Floor, Fort Collins, CO 80525-1195 | 2016-08-29 |
| 1174079594 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 | 2016-08-26 |
| Street Address |
2429 35TH AVE |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-4171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345391 | Brian J Kingston | Family Medicine | 2429 35th Ave, Greeley, CO 80634-4171 | 2005-06-08 |
| 1558789263 | Emily Grace Allwein | Pediatrics | 2429 35th Ave, Greeley, CO 80634-4171 | 2014-03-31 |
| 1225469232 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 2429 35th Ave, Greeley, CO 80634-4171 | 2013-12-02 |
| 1467882597 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2429 35th Ave, Greeley, CO 80634-4171 | 2013-11-27 |
| 1023447679 | Vanessa G Wittstruck | Physician Assistant | 2429 35th Ave, Greeley, CO 80634-4171 | 2013-11-04 |
| 1699116780 | Cavan Wilhelm | Pharmacist | 2429 35th Ave, Greeley, CO 80634-4171 | 2013-07-17 |
| 1710227434 | Kaiser Foundation Health Plan of Co | Clinic/Center | 2429 35th Ave, Greeley, CO 80634-4171 | 2013-02-15 |
| 1679865091 | Lindsey Kae Gerdes | Family Medicine | 2429 35th Ave, Greeley, CO 80634-4171 | 2011-05-03 |
| 1801099585 | Amanda Elizabeth Hill | Pediatrics | 2429 35th Ave, Greeley, CO 80634-4171 | 2007-06-08 |
| 1336279124 | David Lee Sadeghi | Chiropractor | 2429 35th Ave, Greeley, CO 80634-4171 | 2007-03-07 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831609676 | Dr Now Urgent Care | Clinic/Center | 2928 W 10th St Ste 101, Greeley, CO 80634-5434 | 2017-10-06 |
| 1083034672 | Cornerstone Chiropractic of Greeley, Pllc | Clinic/Center | 2525 W 16th St Ste B, Greeley, CO 80634-4951 | 2014-04-22 |
| 1306015839 | Foster Chiropractic Clinic, PC | Clinic/Center | 2018 35th Ave, Unit B, Greeley, CO 80634-3966 | 2008-02-28 |
| 1922667187 | Poudre Valley Health Care Inc. | Clinic/Center | 1675 18th Ave Ste 3, Greeley, CO 80631-5151 | 2019-06-11 |
| 1710546080 | Medical Center of The Rockies | Clinic/Center | 5881 W 16th St, Greeley, CO 80634-2910 | 2019-06-11 |
| 1710227434 | Kaiser Foundation Health Plan of Co | Clinic/Center | 2429 35th Ave, Greeley, CO 80634-4171 | 2013-02-15 |
| 1487987160 | Phyllis Hamar, Lac | Clinic/Center | 710 11th Ave Ste 106, Greeley, CO 80631-3200 | 2009-09-11 |
| 1659544591 | Achziger Vision Center | Clinic/Center | 1713 61st Ave, Suite 101, Greeley, CO 80634-3047 | 2008-04-11 |
| 1376698647 | Health Stop LLC | Clinic/Center | 920 47th Ave, Greeley, CO 80634-2042 | 2007-01-24 |
| 1801886668 | Banner Health | Clinic/Center | 1600 23rd Ave, Greeley, CO 80634-6070 | 2005-10-24 |
| Find all providers in GREELEY | ||||
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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.