SHIVALINI M SUNTHANKAR


Address: 1014 Centre Ave, Fort Collins, CO 80526-1849
Phone: 9704828881

SHIVALINI M SUNTHANKAR (NPI# 1508931106) 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) 1508931106
Entity Type Individual
Full Name SHIVALINI M SUNTHANKAR
Credential M.D.
Practice Address 1014 Centre Ave
Fort Collins
CO 80526-1849
Practice Telephone 9704828881
Practice Fax Number 9704823253
Mailing Telephone 9704828881
Mailing Fax Number 9704823253
Enumeration Date 2006-11-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 24788 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 01247881 05

Office Location

Street Address 1014 CENTRE AVE
City FORT COLLINS
State CO
Zip Code 80526-1849

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942202734 Ronda Loreen Willmot Audiologist 1014 Centre Ave, Fort Collins, CO 80526-1849 2005-08-11
1710021290 Knudsen, Inc. Audiologist-Hearing Aid Fitter 1014 Centre Ave, Fort Collins, CO 80526-1849 2007-02-16

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043783566 J. David Cranor Md LLC Family Medicine 2105 Bighorn Dr., #102, Fort Collins, CO 80525-9166 2019-01-08
1487170502 Sunshine Celestina Stellmon Family Medicine 363 W Drake Rd Ste 9, Fort Collins, CO 80526-2882 2017-08-21
1265964704 Christ Clinic Inc Family Medicine 3920 S Shields St, Fort Collins, CO 80526-3015 2017-04-03
1417399213 Karen Kathleen Weese Bell Family Medicine 2900 S College Ave, Suite 3g, Fort Collins, CO 80525-2562 2013-07-22
1932448735 Nancy Peltola Family Medicine 1339 Banyan Dr, Fort Collins, CO 80521-7529 2013-02-14
1285995811 Stephen Gerard Henke Family Medicine 1304 S College Ave Ste 5, Fort Collins, CO 80524-4114 2012-05-30
1982963229 Elizabeth Hauslein Buell Family Medicine 151 W. Lake Street, Fort Collins, CO 80523-8031 2012-05-07
1851660542 James Edgar Froeschle Family Medicine 5902 Fossil Creek Pkwy, Fort Collins, CO 80525-7108 2011-12-24
1508168758 Aida Yavari Family Medicine 1830 Laporte Ave, Fort Collins, CO 80521-2341 2010-11-20
1003071804 Shannon D Evans Family Medicine 4745 Boardwalk Drive Unit C3, Fort Collins, CO 80525 2008-07-22
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Competitor

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City FORT COLLINS
Zip Code 80526

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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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