BANNER MOUNTAIN VISTA ORTHOPAEDIC MEDICAL CLINIC (NPI# 1457594210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457594210 |
| Entity Type | Organization |
| Organization Name | BANNER MOUNTAIN VISTA ORTHOPAEDIC MEDICAL CLINIC |
| Practice Address |
5890 W 13th St Ste 101 Greeley CO 80634-4821 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 9703480020 |
| Mailing Telephone | 6027474000 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-04-09 |
| Authorized Official Name | DENNIS DAHLEN (VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811252125 | Banner Mountain Vista Orthopaedic Medical Clinic | Clinic/Center | 1300 Main St, Windsor, CO 80550-5989 | 2012-07-12 |
| 1639434954 | Banner Mountain Vista Orthopaedic Medical Clinic | Clinic/Center | 2400 Edison St, Brush, CO 80723-1640 | 2012-07-12 |
| 1316270424 | Banner Mountain Vista Orthopaedic Medical Clinic | Clinic/Center | 6801 W 20th St, Ste 201, Greeley, CO 80634-9637 | 2009-09-09 |
| Street Address |
5890 W 13TH ST STE 101 |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609850056 | Thomas J Pazik | Orthopaedic Surgery | 5890 W 13th St, Ste 101, Greeley, CO 80634-4821 | 2005-11-30 |
| 1184257883 | Rocky Mountain State Anesthesia Providers | Anesthesiology | 5890 W 13th St, Greeley, CO 80634-4821 | 2020-02-20 |
| 1578103750 | North Colorado Medical Center | Clinic/Center | 5890 W 13th St, Greeley, CO 80634-4821 | 2020-01-15 |
| 1316399686 | Randall Scott Sims | Social Worker | 5890 W 13th St, Sutie 114, Greeley, CO 80634-4821 | 2016-07-11 |
| 1417296773 | Banner Anesthesiologists Colorado LLC | Clinic/Center | 5890 W 13th St, Ste 102, Greeley, CO 80634-4821 | 2013-02-06 |
| 1821336769 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 5890 W 13th St, Ste 104, Greeley, CO 80634-4821 | 2013-01-28 |
| 1033474143 | Daniel Anthony Veronie | Physician Assistant | 5890 W 13th St, Suite 101, Greeley, CO 80634-4821 | 2012-07-05 |
| 1316263551 | Banner Imaging Associates of North Colorado | Clinic/Center | 5890 W 13th St, Greeley, CO 80634-4821 | 2010-04-13 |
| 1659694743 | Banner Greeley Specialists | Clinic/Center | 5890 W 13th St, Ste 106, Greeley, CO 80634-4821 | 2010-03-04 |
| 1750573283 | David F Ritsema | Urology | 5890 W 13th St, Suite 106, Greeley, CO 80634-4821 | 2007-08-17 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346872843 | Nephrology Clinic PC | Clinic/Center | 8229 W 20th St, Greeley, CO 80634-3040 | 2020-02-12 |
| 1750885273 | Health By Design Chiropractic, Inc. | Clinic/Center | 3000 W 10th St, Greeley, CO 80634-5335 | 2018-03-20 |
| 1316270424 | Banner Mountain Vista Orthopaedic Medical Clinic | Clinic/Center | 6801 W 20th St, Ste 201, Greeley, CO 80634-9637 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977058 | Yampa Valley Medical Center | Clinic/Center | 940 Central Park Dr Ste 191, Steamboat Springs, CO 80487-8853 | 2020-09-20 |
| 1932713153 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 11900 Grant St Ste 240, Northglenn, CO 80233-1117 | 2020-09-04 |
| 1508470998 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 1960 N Ogden St Ste 520, Denver, CO 80218-3671 | 2020-09-02 |
| 1346865896 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave Ste 201c, Boulder, CO 80303-1128 | 2020-06-10 |
| 1023640513 | Nephrology Clinic PC | Clinic/Center | 2988 Ginnala Dr, Loveland, CO 80538-2701 | 2020-02-12 |
| 1457991473 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201f, Erie, CO 80516-4072 | 2020-01-07 |
| 1922659044 | Boulder Community Health | Clinic/Center | 4880 Riverbend Rd Ste 100, Boulder, CO 80301-2622 | 2019-09-20 |
| 1225687965 | Boulder Community Health | Clinic/Center | 4747 Arapahoe Ave, 3 West, Boulder, CO 80303-1131 | 2019-09-05 |
| 1538716923 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201d, Erie, CO 80516-4072 | 2019-08-21 |
| 1578110185 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201b, Erie, CO 80516-4072 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
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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.