CONCIERGE MEDICAL GROUP, LLC (NPI# 1609263615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609263615 |
| Entity Type | Organization |
| Organization Name | CONCIERGE MEDICAL GROUP, LLC |
| Practice Address |
9777 S Yosemite St Suite 110 Lone Tree CO 80124-3191 |
| Mailing Address |
9777 S Yosemite St Suite 220 Lone Tree CO 80124-3191 |
| Practice Telephone | 7204124562 |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |
| Authorized Official Name | CARL NISSLER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7204124562 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Concierge Medical Group, LLC | 9777 S Yosemite St, Suite 110, Lone Tree, CO 80124 |
| Street Address |
9777 S YOSEMITE ST SUITE 110 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-3191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649269432 | Peter C Vandoren | Physical Therapist | 9777 S Yosemite St, Ste 110, Lone Tree, CO 80124-3191 | 2005-10-14 |
| 1700304649 | Tia Totura | Physical Therapist | 9777 S Yosemite St, Lone Tree, CO 80124-3191 | 2017-08-30 |
| 1780117440 | Insight Surgery Center, LLC | Clinic/Center | 9777 S Yosemite St, 210, Lone Tree, CO 80124 | 2017-04-09 |
| 1104272053 | Edith Newall | Acupuncturist | 9777 S Yosemite St, Suite 110, Lone Tree, CO 80124-3191 | 2016-05-10 |
| 1609234939 | Quantum Health Injury LLC | Clinic/Center | 9777 S Yosemite St, 110, Lone Tree, CO 80124-3191 | 2016-02-01 |
| 1891177598 | Zach Overgaard | Physical Therapist | 9777 S Yosemite St, 130, Lone Tree, CO 80124-3191 | 2015-06-18 |
| 1811337926 | Outpatient Surgical Recovery Suites of Colorado | Nursing Facility/Intermediate Care Facility | 9777 S Yosemite St, Suite 220, Lone Tree, CO 80124-3191 | 2013-07-03 |
| 1629306006 | Edmon Khoury | Otolaryngology | 9777 S Yosemite St, Suite 200, Lone Tree, CO 80124-3191 | 2009-11-24 |
| 1275784977 | Emergency Orthopedic Services Pllc | Orthopaedic Surgery | 9777 S Yosemite St, 220, Lone Tree, CO 80124-3191 | 2008-10-01 |
| 1063698678 | Mitzie Renee Gibbs | Physical Therapist | 9777 S Yosemite St, Suite 110, Lone Tree, CO 80124-3191 | 2008-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| 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 |
|---|---|---|---|---|
| 1871923656 | Rocky Mountain Spine Clinic | Clinic/Center | 10103 Ridgegate Pkwy, #306, Lone Tree, CO 80124-5520 | 2013-11-15 |
| 1982932299 | Denver Cosmetic Surgery, Pllc | Clinic/Center | 9777 S. Yosemite St, Suite 200, Lone Tree, CO 80124-3191 | 2009-11-24 |
| 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 |
| 1346872843 | Nephrology Clinic PC | Clinic/Center | 8229 W 20th St, Greeley, CO 80634-3040 | 2020-02-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CONCIERGE MEDICAL GROUP, LLC.
| 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.