GREGORY J. FERENZ (NPI# 1568696243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568696243 |
| Entity Type | Individual |
| Full Name | GREGORY J. FERENZ |
| Credential | D.O. |
| Practice Address |
1511 Onyx Cir Longmont CO 80504-7805 |
| Mailing Address |
1600 Nw Kingston Ave Bend OR 97703-2136 |
| Practice Telephone | 4409346135 |
| Practice Fax Number | 4409376147 |
| Mailing Telephone | 2158507311 |
| Mailing Fax Number | 3036822785 |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
DO162367 | OR | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
OT012388 | PA | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
DR.0056957 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICARE RAILROAD | P01255924 | 01 |
| OR | 500659636 | 05 |
| Street Address |
1511 ONYX CIR |
| City | LONGMONT |
| State | CO |
| Zip Code | 80504-7805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295726453 | Badreldin A Ibrahim | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2005-11-04 |
| 1124483342 | Bruce Katuna, Md | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2015-12-16 |
| 1992179394 | Blaze Iom Reading, Pllc | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2015-11-23 |
| 1659640381 | Rocky Mountain Neurodiagnostics Pllc | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2011-12-27 |
| 1376757344 | Grant Michael Warmouth | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2007-05-09 |
| 1073615704 | Bruce Alan Katuna | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2006-09-02 |
| 1861479628 | Craig Grason Carroll | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776620 | Cinde S Yoho | Social Worker | 9485 County Road 15, Firestone, CO 80504 | 2018-10-19 |
| 1427544881 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 310 Lashley St Ste 109, Longmont, CO 80504 | 2018-07-09 |
| 1962913962 | Melissa Frick | Counselor | 10184 E I-25 Frontage Rd, Firestone, CO 80504 | 2017-10-17 |
| 1558757260 | Firestone Pediatric Dentistry and Orthodontics | Dentist | 8301 Colorado Blvd, Suite 200, Firestone, CO 80504 | 2015-04-09 |
| 1912392671 | Ashley Lerwick | Speech-Language Pathologist | 11169 Interstate I25 Frontage Rd, Firestone, CO 80504 | 2015-03-31 |
| 1780077685 | Roger Leon Jorgensen | Ophthalmology | 14222 N 95 Si, Longmont, CO 80504 | 2015-03-17 |
| 1982942090 | Carrie Rose Fitzekam | Technician | 712 Tanagers Circle, Longmont, CO 80504 | 2013-01-24 |
| 1003166976 | Jennifer Lynn Mcnerney | Speech-Language Pathologist | 8197 Miller Dr, Frederick, CO 80504 | 2012-09-18 |
| 1821343450 | Allison Luellen | Physician Assistant | 8350 Colorado Blvd, Suite 160, Firestone, CO 80504 | 2012-07-19 |
| 1609132109 | Abby Elizabeth Bohall | Speech-Language Pathologist | 5132 Mt Buchanan Ave, Frederick, CO 80504 | 2012-04-09 |
| Find all providers in zip 80504 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295726453 | Badreldin A Ibrahim | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2005-11-04 |
| 1285631440 | Pierre V Pavot | Psychiatry & Neurology | 2030 Mountain View Ave, Suite 300, Longmont, CO 80501-3178 | 2005-07-03 |
| 1447872460 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-05-13 |
| 1124483342 | Bruce Katuna, Md | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2015-12-16 |
| 1992179394 | Blaze Iom Reading, Pllc | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2015-11-23 |
| 1932513124 | Diana Oyoung-oliver | Psychiatry & Neurology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2014-06-16 |
| 1447467246 | Paul Andrew Sykes | Psychiatry & Neurology | 1925 Mountain View Ave, Longmont, CO 80501 | 2007-05-17 |
| 1376757344 | Grant Michael Warmouth | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2007-05-09 |
| 1790847705 | Colorado Institute for Neuromuscular and Neurological Disorders, Pllc | Psychiatry & Neurology | 600 S Airport Rd, Suite E, Bldg. B, Longmont, CO 80503-6424 | 2006-12-15 |
| 1073615704 | Bruce Alan Katuna | Psychiatry & Neurology | 1511 Onyx Cir, Longmont, CO 80504-7805 | 2006-09-02 |
| Find all providers in LONGMONT | ||||
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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.