COMMUNITY MEDICAL GROUP, LLC (NPI# 1558505503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558505503 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL GROUP, LLC |
| Other Organization Name | GRAND VALLEY PRIMARY CARE |
| Practice Address |
603 28 1/4 Rd Grand Junction CO 81506 |
| Mailing Address |
Po Box 1727 Grand Junction CO 81502-1727 |
| Practice Telephone | 9702632600 |
| Mailing Telephone | 9702632600 |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | CHRISTIAN THOMAS (PRESIDENT AND CEO) |
| Authorized Official Telephone | 9706443011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CMG Primary Care 1 | Doing Business As Name - Organization |
| Grand Valley Primary Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2020 N 12th St, Grand Junction, CO 815012914 | 9702632600 | 9702632692 |
| 2373 G Rd Ste 160, Grand Junction, CO 815051003 | 9702632600 | 9702632692 |
| 2478 Patterson Rd Ste 27, Grand Jct, CO 815053606 | 9706444300 | 9702634323 |
| 551 Kokopelli Blvd Unit F, Fruita, CO 815216305 | 9708586677 | 9708586679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548807829 | Community Medical Group, LLC | Internal Medicine | 2532 Patterson Rd Ste 9-10, Grand Jct, CO 81505-3604 | 2019-12-05 |
| 1073150850 | Community Medical Group, LLC | Specialist | 551 Kokopelli Blvd Unit F, Fruita, CO 81521-6305 | 2019-11-29 |
| 1538713136 | Community Medical Group, LLC | Nurse Practitioner | 605 28 1/4 Rd, Grand Junction, CO 81506-6020 | 2019-07-31 |
| 1730505702 | Community Medical Group, LLC | Pediatrics | 601 28 1/4 Rd Unit B, Grand Junction, CO 81506-6022 | 2014-03-13 |
| 1700417425 | Community Medical Group, LLC | Family Medicine | 2373 G Rd Ste 270, Grand Junction, CO 81505-1006 | 2020-01-31 |
| 1457998411 | Community Medical Group, LLC | Family Medicine | 2373 G Rd, Grand Junction, CO 81505-1003 | 2019-12-09 |
| 1720625007 | Community Medical Group, LLC | Specialist | 601 28 1/4 Rd, Grand Junction, CO 81506-6022 | 2019-12-05 |
| 1134766421 | Community Medical Group, LLC | Family Medicine | 2020 N 12th St, Grand Jct, CO 81501-2914 | 2019-12-05 |
| 1205473550 | Community Medical Group, LLC | Family Medicine | 2373 G Rd Ste 240, Grand Junction, CO 81505-1006 | 2019-12-05 |
| 1134766496 | Community Medical Group, LLC | Specialist | 1060 Orchard Ave Unit O, Grand Junction, CO 81501-2997 | 2019-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Community Medical Group, LLC | 2351 G Road, Grand Junction, CO 81505 |
| Indiana Business Entities | COMMUNITY MEDICAL GROUP, LLC | 234 East Gray Street, Suite 262, Louisville, KY 40202 |
| Street Address |
603 28 1/4 RD |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679564058 | Charles S Nowak | Family Medicine | 603 28 1/4 Rd, Grand Junction, CO 81506-6019 | 2005-11-03 |
| 1437690302 | Community Medical Group, LLC | Specialist | 603 28 1/4 Rd, Grand Junction, CO 81506-6019 | 2017-03-13 |
| 1629510979 | Andrea Rush Liggett | Registered Nurse | 603 28 1/4 Rd, Grand Junction, CO 81506-6019 | 2016-11-16 |
| 1073068532 | Heather E. F. Tobin | Nurse Practitioner | 603 28 1/4 Rd, Grand Junction, CO 81506-6019 | 2016-08-24 |
| 1265898845 | Julia Elliott | Counselor | 603 28 1/4 Rd, Grand Junction, CO 81506-6019 | 2016-01-12 |
| 1205239555 | Colorado West Healthcare System | Plastic Surgery | 603 28 1/4 Rd, Grand Junction, CO 81506-6019 | 2014-10-01 |
| 1023445897 | Jennifer June Crowe | Registered Nurse | 603 28 1/4 Rd, Grand Junction, CO 81506 | 2013-10-10 |
| 1962842955 | Richard John Zogala | Internal Medicine | 603 28 1/4 Rd, Grand Junction, CO 81506 | 2013-07-05 |
| 1528311487 | Jessica Michelle Fisher | Family Medicine | 603 28 1/4 Rd, Grand Junction, CO 81506-6019 | 2012-10-17 |
| 1245551316 | Robert Boyer | Family Medicine | 603 28 1/4 Rd, Grand Junction, CO 81506-6019 | 2010-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1720646292 | Creed Ott | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1568948776 | Lakeside Psychological Services, LLC | Clinic/Center | 3154 Lakeside Dr Apt 103, Grand Junction, CO 81506 | 2018-07-11 |
| 1700389095 | Catherine Martha Plough | Registered Nurse | 2754 Compass Drive, Suite 377, Grand Junction, CO 81506 | 2018-03-13 |
| 1114445657 | Katrina Nicol Metcalf | Nurse Practitioner | 2643 Patterson Road Suite 605, Grand Junction, CO 81506 | 2017-09-05 |
| 1346760642 | Christopher Lewis Hoef II | Licensed Practical Nurse | 3031 N 14th St, Grand Junction, CO 81506 | 2017-06-27 |
| 1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
| 1073902284 | Brett Adams | Audiologist-Hearing Aid Fitter | 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 | 2015-01-12 |
| 1942625116 | Pamela W Kreps | Hearing Instrument Specialist | 759 Horizon Dr Ste E, Grand Junction, CO 81506 | 2014-02-25 |
| 1962779249 | Premere Rehab LLC | Occupational Therapist | 625 271/2 Road, Grand Junction, CO 81506 | 2011-11-30 |
| Find all providers in zip 81506 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720646292 | Creed Ott | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1578031241 | Rachel Anne Murray | Family Medicine | 2237 Redlands Pkwy, Grand Junction, CO 81507-1101 | 2018-11-10 |
| 1730453861 | Paul David Wubben | Family Medicine | 804 Mazatlan Dr, Grand Junction, CO 81506-1773 | 2012-03-07 |
| 1801127147 | Jeri White Do Pllc | Family Medicine | 1204 N. 7th Street, Suite 104, Grand Junction, CO 81501-2985 | 2010-01-27 |
| 1760660047 | Verne A Smith | Family Medicine | 2013 Overlook Dr, Grand Junction, CO 81505-7041 | 2008-02-08 |
| 1689885360 | Douglas Carl Shenk | Family Medicine | 308 Bookcliff Ct, Grand Junction, CO 81501-2022 | 2007-05-24 |
| 1083734313 | Angela L Kurtz | Family Medicine | 1060 Orchard Ave Unit N, Grand Junction, CO 81501 | 2007-03-30 |
| 1437294287 | Honglan Lu | Family Medicine | 2525 N 8th St Ste 104, Grand Junction, CO 81501-8808 | 2007-02-20 |
| 1982745212 | Tarek T. Arja | Family Medicine | 525 North Ave, Grand Junction, CO 81501-7512 | 2007-02-09 |
| 1336293471 | Kenneth E Nelson | Family Medicine | 2676 G Rd, Grand Junction, CO 81506-8395 | 2007-01-23 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81506 |
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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.