MR. CLINTON LEE HARTMAN


Address: 1025 Pennock Pl Ste 121, Fort Collins, CO 80524-3257
Phone: 9804958980

MR. CLINTON LEE HARTMAN (NPI# 1346335577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346335577
Entity Type Individual
Full Name MR. CLINTON LEE HARTMAN
Credential PA-C
Practice Address 1025 Pennock Pl Ste 121
Fort Collins
CO 80524-3257
Practice Telephone 9804958980
Practice Fax Number 9704958988
Mailing Telephone 9804958980
Mailing Fax Number 9704958988
Enumeration Date 2006-10-04
Last Update Date 2020-01-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA.0000483 CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 17208548 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2127 E Harmony Rd, Suite 140, Fort Collins, CO 805283405 9702976250 9702976260

Other Providers CLINTON HARTMAN

NPI Name Taxonomy Address Enumeration
1508044207 Clinton Jeffery Hartman Nurse Anesthetist, Certified Registered 4102 Pinion Dr, 10th Mdg, Usaf Academy, CO 80840-2502 2008-02-05

Office Location

Street Address 1025 PENNOCK PL STE 121
City FORT COLLINS
State CO
Zip Code 80524-3257

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225365968 Siegfried Jose Emme Nurse Practitioner 1025 Pennock Pl Ste 121, Fort Collins, CO 80524-3257 2009-11-17

Providers in the same zip code

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 Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386244895 Cheyenne M Zurfluh Physician Assistant 1301 Lory St, Fort Collins, CO 80524-4213 2020-10-26
1790382240 Katherine Kowalk Physician Assistant 3108 Bryce Dr, Fort Collins, CO 80525-3119 2020-10-07
1295384766 Katelyn Feczko Physician Assistant 1120 E Elizabeth St Ste 2, Fort Collins, CO 80524-4044 2019-09-08
1750936506 Stefan Lee Physician Assistant 2813 Seccomb St, Fort Collins, CO 80526-6211 2019-08-08
1801372065 Rachael Mcgaha Miller Physician Assistant 837 Columbia Rd, Fort Collins, CO 80525-1837 2018-07-11
1699287953 Caroline Kelly Tuchowski Physician Assistant 2121 E Harmony Rd Unit 360, Fort Collins, CO 80528-3404 2017-10-26
1639543473 Mh Health Care Services, PC Physician Assistant 2310 E Prospect Rd Ste D, C/o Larimer County Employee Health Center, Fort Collins, CO 80525-9770 2015-11-17
1851783435 Christon Chilen Physician Assistant 2950 Brumbaugh Dr, Fort Collins, CO 80526-6231 2015-02-19
1851797104 Julianna Valdez Taylor Physician Assistant 214 N Howes St, Fort Collins, CO 80521-2011 2014-11-14
1356778914 Reed Mark Soukup Physician Assistant 2001 S Shields E101, Fort Collins, CO 80526-1872 2013-09-27
Find all providers in FORT COLLINS

Competitor

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City FORT COLLINS
Zip Code 80524

Improve Information

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Dataset Information

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.

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