HEART & VASCULAR CLINIC OF NORTHERN COLORADO, P.C. (NPI# 1649276536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649276536 |
| Entity Type | Organization |
| Organization Name | HEART & VASCULAR CLINIC OF NORTHERN COLORADO, P.C. |
| Practice Address |
2121 E Harmony Rd Unit 200 Fort Collins CO 80528-3401 |
| Practice Telephone | 9702211000 |
| Practice Fax Number | 9702211544 |
| Mailing Telephone | 9702211000 |
| Mailing Fax Number | 9702211544 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2008-02-22 |
| Authorized Official Name | MR. DALE RICHARDSON (ADMINISTRATOR) |
| Authorized Official Telephone | 9702276931 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
CO | Allopathic & Osteopathic Physicians | |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
CO | Allopathic & Osteopathic Physicians | |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
CO | Allopathic & Osteopathic Physicians | |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
CO | Allopathic & Osteopathic Physicians | |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | CO | Allopathic & Osteopathic Physicians | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CO | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | BCBS GROUP NUMBER | HE89204 | 01 |
| CO | 4892048 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | HEART & VASCULAR CLINIC OF NORTHERN COLORADO, P.C. | 2121 E Harmony Rd Ste 200, Fort Collins, CO 80528 |
| Street Address |
2121 E HARMONY RD UNIT 200 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737526 | Carrie Lynn Campbell Broughton | Internal Medicine | 2121 E Harmony Rd, Suite 310, Fort Collins, CO 80528-3400 | 2005-05-31 |
| 1851916407 | Jonathan Klassen | Genetic Counselor, MS | 2121 E Harmony Rd, Fort Collins, CO 80528-3400 | 2020-06-10 |
| 1508374364 | Jennifer Mommer | Nurse Practitioner | 2121 E Harmony Rd, Suite 100, Fort Collins, CO 80528-3401 | 2018-01-15 |
| 1043744543 | Seth Holland | Pharmacist | 2121 E Harmony Rd, Fort Collins, CO 80528-3400 | 2017-04-12 |
| 1396279832 | Carrie Allen | Pharmacist | 2121 E Harmony Rd, Suite 170, Fort Collins, CO 80528-3400 | 2017-04-11 |
| 1609317890 | Tomi Folkestad | Pharmacist | 2121 E Harmony Rd, Suite 170, Fort Collins, CO 80528-3400 | 2017-03-20 |
| 1295285377 | Lindsay Sinclair | Pharmacist | 2121 E Harmony Rd, Suite 170 (pharmacy), Fort Collins, CO 80528-3400 | 2016-10-12 |
| 1851841753 | Associates In Family Medicine, P.C. | Family Medicine | 2121 E Harmony Rd, Suite 370, Fort Collins, CO 80528-3400 | 2016-10-04 |
| 1639541550 | Jaime Cazer | Registered Nurse | 2121 E Harmony Rd, Suite 100, Fort Collins, CO 80528-3400 | 2015-10-30 |
| 1699146183 | Lindsay Bennett | Nurse Practitioner | 2121 E Harmony Rd, Suite 310, Fort Collins, CO 80528-3400 | 2015-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487762167 | Mohamed Zaki Ahmed Refaat | Internal Medicine | 2121 E Harmony Rd Unit 100, Fort Collins, CO 80528-3401 | 2006-08-25 |
| 1649871880 | Poudre Valley Medical Group, LLC | Internal Medicine | 1107 S Lemay Ave, Fort Collins, CO 80524-3960 | 2020-11-04 |
| 1689917437 | Michael Adam Weinreich | Internal Medicine | 2121 E Harmony Rd Unit 100, Fort Collins, CO 80528-3401 | 2013-03-30 |
| 1457517625 | Wendy J Austin | Internal Medicine | 2121 E Harmony Rd, Suite 100, Fort Collins, CO 80528-3400 | 2008-08-06 |
| 1609931005 | Matthew T Purvis | Internal Medicine | 2121 E Harmony Rd, Ste 100, Fort Collins, CO 80528-3400 | 2006-12-26 |
| 1245236371 | Thomas R Downes IIi | Internal Medicine | 2121 E Harmony Rd, Ste100, Fort Collins, CO 80528-3400 | 2005-06-23 |
| 1053317198 | Charles Timothy Johnson | Internal Medicine | 2121 E Harmony Rd, Unit 100, Fort Collins, CO 80528-3401 | 2005-06-23 |
| 1891791950 | Dennis G Larson | Internal Medicine | 2121 E Harmony Rd, Unit 100, Fort Collins, CO 80528-3401 | 2005-06-23 |
| 1457357824 | Todd B Whitsitt | Internal Medicine | 2121 E Harmony Rd, Unit 100, Fort Collins, CO 80528-3401 | 2005-06-22 |
| 1336145747 | Chad L Stoltz | Internal Medicine | 2121 E Harmony Rd, Unit 100, Fort Collins, CO 80528-3401 | 2005-06-22 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
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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.