ROCKY MOUNTAIN PAIN RELIEF CENTER (NPI# 1316060999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316060999 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN PAIN RELIEF CENTER |
| Practice Address |
630 15th Ave Suite 104 Longmont CO 80501-2700 |
| Mailing Address |
Po Box 926 Niwot CO 80544-0926 |
| Practice Telephone | 3037765700 |
| Practice Fax Number | 3037765701 |
| Mailing Telephone | 3037765700 |
| Mailing Fax Number | 3037765701 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | DR. JAMES DEWEY THACKER JR. (PRESIDENT) |
| Authorized Official Telephone | 3037765700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
40660 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
630 15TH AVE SUITE 104 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548188 | Kim Rae Lane | Specialist | 630 15th Ave, Suite 200, Longmont, CO 80501-2700 | 2005-09-19 |
| 1417596487 | Jennifer Dragge | Massage Therapist | 630 15th Ave, Longmont, CO 80501-2700 | 2019-12-23 |
| 1407205461 | Northern Colorado Endodontics | Dentist | 630 15th Ave, Suite 301, Longmont, CO 80501-2700 | 2016-06-09 |
| 1265712285 | Christine Anne Snyder | Acupuncturist | 630 15th Ave, Suite 102, Longmont, CO 80501-2700 | 2011-08-22 |
| 1235371311 | Hansonhealth LLC | Clinic/Center | 630 15th Ave, Suite 102, Longmont, CO 80501-2700 | 2009-04-03 |
| 1164639167 | Daniel P. Johnson | Dentist | 630 15th Ave, Ste 101, Longmont, CO 80501-2700 | 2007-05-17 |
| 1265650444 | Foster Chiropractic & Wellness Center, Pllc | Clinic/Center | 630 15th Ave, Suite 102, Longmont, CO 80501-2764 | 2007-04-23 |
| 1699810846 | Sarah Poston | Nurse Practitioner | 630 15th Ave, Suite 104, Longmont, CO 80501-2700 | 2007-02-21 |
| 1588746879 | Brian Keith Foster | Chiropractor | 630 15th Ave, Suite 102, Longmont, CO 80501-2700 | 2006-10-19 |
| 1689779613 | Daniel J Barton Dmd Ms Prof LLC | Dentist | 630 15th Ave, Suite 301, Longmont, CO 80501 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415860 | Metamorphosis Ltd | Pain Medicine | 2140 Hollow Brook Dr Ste 110, Colorado Springs, CO 80918-1489 | 2020-10-22 |
| 1346800737 | Pikes Peak Spine & Joint LLC | Pain Medicine | 3604 Galley Rd Ste 202, Colorado Springs, CO 80909-4301 | 2019-06-18 |
| 1528524279 | Colorado Alternative Therapy | Pain Medicine | 1777 S Bellaire St Unit G, Denver, CO 80222-4306 | 2019-02-19 |
| 1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
| 1003909276 | Ricardo A Nieves | Pain Medicine | 1437 Riverside Ave, Fort Collins, CO 80524-4324 | 2006-10-02 |
| 1740239508 | Rocky Mountain Pain Consultants | Pain Medicine | 900 Potomac, Aurora, CO 80011 | 2006-05-09 |
| 1790749604 | Lisa G Pearson | Pain Medicine | 113 Latigo Lane, Suite D, Canon City, CO 81212-8115 | 2006-04-17 |
| 1881655827 | Floyd O Ring | Pain Medicine | 900 Potomac St, Aurora, CO 80011-6716 | 2006-03-29 |
| 1710956735 | Colorado Pain Specialists PC | Pain Medicine | 325 S Teller St, Suite 240, Lakewood, CO 80226-7388 | 2006-03-14 |
| 1679563092 | Christopher James Brian Frandrup | Pain Medicine | 10700 E Bethany Dr Ste 104, Aurora, CO 80014-2625 | 2005-10-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROCKY MOUNTAIN PAIN RELIEF CENTER.
| 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.