FRONT RANGE GERIATRIC MEDICINE LLC (NPI# 1194261362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194261362 |
| Entity Type | Organization |
| Organization Name | FRONT RANGE GERIATRIC MEDICINE LLC |
| Practice Address |
802 W Drake Rd Suite 101 Fort Collins CO 80526-5558 |
| Practice Telephone | 9704820198 |
| Mailing Telephone | 9704820198 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-27 |
| Authorized Official Name | MRS. CLAUDIA M DORE (BILLING MANAGER) |
| Authorized Official Telephone | 3036606561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Front Range Geriatric Medicine LLC | 802 West Drake Road, Suite 101, Fort Collins, CO 80526 |
| Street Address |
802 W DRAKE RD SUITE 101 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-5558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073535118 | Front Range Therapy Systems, Inc. | Clinic/Center | 802 W Drake Rd, Suite 133, Fort Collins, CO 80526-5567 | 2006-07-25 |
| 1285233494 | Abigail Teel | Physical Therapy Assistant | 802 W Drake Rd, Fort Collins, CO 80526-5558 | 2020-10-19 |
| 1962910018 | Valerie Keller | Occupational Therapist | 802 W Drake Rd, Fort Collins, CO 80526-5558 | 2018-01-10 |
| 1952759177 | Jessica Kessel | Physical Therapist | 802 W Drake Rd, Suite 133a, Fort Collins, CO 80526-5558 | 2016-05-27 |
| 1811344948 | Diane Guerrero | Physical Therapist | 802 W Drake Rd, Fort Collins, CO 80526-5558 | 2016-05-18 |
| 1134575574 | Mark Mincinski | Occupational Therapist | 802 W Drake Rd, Fort Collins, CO 80526-5558 | 2016-05-04 |
| 1811342314 | Kathleen Quinn | Physical Therapist | 802 W Drake Rd, Fort Collins, CO 80526-5558 | 2016-05-03 |
| 1225483845 | Lisa Rhead | Occupational Therapist | 802 W Drake Rd, Fort Collins, CO 80526-5558 | 2016-05-02 |
| 1073977831 | Ailish C Leeper | Occupational Therapist | 802 W Drake Rd, Suite 145, Fort Collins, CO 80526-5558 | 2016-04-07 |
| 1730550310 | Dana Parker | Physical Therapist | 802 W Drake Rd, Ste 133, Fort Collins, CO 80526-5558 | 2015-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568621613 | Rebecca Rain Jackson | Family Medicine | 2121 E Harmony Rd, Suite 370, Fort Collins, CO 80528-3400 | 2008-06-04 |
| 1194703926 | Julie Ann Devita-bailey | Family Medicine | 1212 E Elizabeth St, Fort Collins, CO 80524-4007 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285100685 | Sun Tree Palliative Care and Physician Services LLC | Family Medicine | 3090 S Jamaica Ct Ste 313, Aurora, CO 80014-2628 | 2018-10-23 |
| 1871906974 | Catherine Lee Cantway | Family Medicine | 1600 Mid Valley Dr, Steamboat Springs, CO 80487-9006 | 2014-06-05 |
| 1033354386 | Madison Jerome Lucas I | Family Medicine | 5991 Crestbrook Dr, Morrison, CO 80465-2219 | 2008-12-15 |
| 1245416742 | Benjamin N Pinto Md | Family Medicine | 5421 S Federal Cir, Suite J206, Littleton, CO 80123-7701 | 2008-01-14 |
| 1053442467 | House Call Docs Cs LLC | Family Medicine | 506 Orion Drive, Colorado Springs, CO 80906-1015 | 2007-03-08 |
| 1922015973 | Michele Yeeting Lee | Family Medicine | 350 Ponca Pl, Suite 250, Boulder, CO 80303-3828 | 2006-08-02 |
| 1881600112 | Doc Com LLC | Family Medicine | 2833 S Colorado Blvd, Denver, CO 80222-6609 | 2006-07-31 |
| 1528083466 | Donald G Spradlin | Family Medicine | 1415 W Cheyenne Mountain Blvd, Colorado Springs, CO 80906-6211 | 2006-07-13 |
| 1073508966 | Julie Lynn Halling | Family Medicine | 3076 Electra Dr S, Colorado Springs, CO 80906-1097 | 2005-09-16 |
| 1285089052 | Juliana Wilking-johnson | Family Medicine | 2551 W 84th Ave, Westminster, CO 80031-3807 | 2016-04-29 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
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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.