ISAAC ANTON FONKEN (NPI# 1538665542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538665542 |
| Entity Type | Individual |
| Full Name | ISAAC ANTON FONKEN |
| Credential | M.D. |
| Practice Address |
Family Medicine Center 1025 Pennock Place Fort Collins CO 80524 |
| Practice Telephone | 9704958800 |
| Practice Fax Number | 9704958891 |
| Mailing Telephone | 9704958800 |
| Mailing Fax Number | 9704958891 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
FAMILY MEDICINE CENTER 1025 PENNOCK PLACE |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154828317 | Kale Flory | Student in an Organized Health Care Education/Training Program | Family Medicine Center, 1025 Pennock Place, Fort Collins, CO 80524 | 2018-04-12 |
| 1528564952 | Emily Patricia Garban | Student in an Organized Health Care Education/Training Program | Family Medicine Center, 1025 Pennock Place, Fort Collins, CO 80524 | 2018-04-04 |
| 1821594318 | Emily Ann Bender | Student in an Organized Health Care Education/Training Program | Family Medicine Center, 1025 Pennock Place, Fort Collins, CO 80524 | 2018-04-03 |
| 1720584246 | Trevin John Cardon | Student in an Organized Health Care Education/Training Program | Family Medicine Center, 1025 Pennock Place, Fort Collins, CO 80524 | 2018-04-03 |
| 1154826196 | Kelsey Rae Heinrich | Student in an Organized Health Care Education/Training Program | Family Medicine Center, 1025 Pennock Place, Fort Collins, CO 80524 | 2018-03-29 |
| 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 Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124636568 | Kirsten Anne Revitte | Student in an Organized Health Care Education/Training Program | 3002 W Elizabeth St Unit 16b, Fort Collins, CO 80521-7526 | 2020-07-22 |
| 1124643143 | Mubassara Ahmad | Student in an Organized Health Care Education/Training Program | 2625 Little Bear Ct, Fort Collins, CO 80525-6164 | 2020-06-15 |
| 1760019400 | Elizabeth Carrington | Student in an Organized Health Care Education/Training Program | 1016 Ashford Ct, Fort Collins, CO 80526-3956 | 2020-03-24 |
| 1689239030 | Krista Crump | Student in an Organized Health Care Education/Training Program | 1413 Clementine Ct, Fort Collins, CO 80526-4210 | 2019-05-01 |
| 1295299402 | Silvia Y Sanchez | Student in an Organized Health Care Education/Training Program | 5151 Boardwalk Dr Unit H1, Fort Collins, CO 80525-6246 | 2019-01-22 |
| 1770026288 | Drayden Turman | Student in an Organized Health Care Education/Training Program | 822 W Oak St, Fort Collins, CO 80521-2514 | 2016-12-01 |
| 1851743439 | Jill Harvey | Student in an Organized Health Care Education/Training Program | 4715 Dusty Sage Dr, Unit 4, Fort Collins, CO 80526-3769 | 2016-07-07 |
| 1790113710 | Jina Ahn | Student in an Organized Health Care Education/Training Program | Aylesworth Hall Nw 800 Meridian Dr, Colorado State University, Fort Collins, CO 80523-0001 | 2013-10-30 |
| 1922355650 | Sara Fisher | Student in an Organized Health Care Education/Training Program | 3342 Oregon Trl, Fort Collins, CO 80526-4205 | 2012-08-13 |
| 1467680926 | Nicole Novak | Student in an Organized Health Care Education/Training Program | 1400 Fleetwood Ct, Fort Collins, CO 80521-4057 | 2009-06-23 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on ISAAC ANTON FONKEN.
| 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.