WORKWELL OCCUPATIONAL MEDICINE (NPI# 1689704801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689704801 |
| Entity Type | Organization |
| Organization Name | WORKWELL OCCUPATIONAL MEDICINE |
| Practice Address |
205 S Main St Suite C Longmont CO 80501-1716 |
| Practice Telephone | 3037021612 |
| Practice Fax Number | 3037747899 |
| Mailing Telephone | 3037021612 |
| Mailing Fax Number | 3037747899 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRIAN MATHWICH (OWNER) |
| Authorized Official Telephone | 3037021612 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003137134 | Workwell Occupational Medicine | Clinic/Center | 205 S Main St, Longmont, CO 80501-1716 | 2010-06-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | WorkWell Occupational Medicine, LLC | 164 Primrose Court, Longmont, CO 80501 |
| Street Address |
205 S MAIN ST SUITE C |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000692 | John Christopher Fueston | Dermatology | 205 S Main St, Suite E, Longmont, CO 80501-1716 | 2005-08-18 |
| 1467993006 | Sun Lee | Physical Therapy Assistant | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2017-03-15 |
| 1003274192 | Colin Strack | Physician Assistant | 205 S Main St, Suite A, Longmont, CO 80501-1716 | 2016-02-03 |
| 1144593872 | Nathaniel Foster | Physical Therapy Assistant | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2012-02-10 |
| 1881961316 | Front Range Eye Physicians PC | Ophthalmology | 205 S Main St, Suite D, Longmont, CO 80501-1716 | 2011-11-29 |
| 1033496179 | Scott Patric Sullivan | Specialist/Technologist | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2011-11-03 |
| 1003137134 | Workwell Occupational Medicine | Clinic/Center | 205 S Main St, Longmont, CO 80501-1716 | 2010-06-11 |
| 1376775023 | House Call Physicians, PC | Family Medicine | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2009-08-13 |
| 1760647333 | Evan Matthew Little | Physical Therapist | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2008-07-23 |
| 1467628404 | Twin Peaks Dermatology, PC | Dermatology | 205 S Main St, Suite E, Longmont, CO 80501-1716 | 2008-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316077506 | John Peter Mars | Preventive Medicine | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750942 | Healthstat Inc Reo | Preventive Medicine | 5505 Airport Blvd, Boulder, CO 80301-2316 | 2020-08-17 |
| 1205464757 | Healthstat Onsite Hss | Preventive Medicine | 990 S Broadway Ste 100, Denver, CO 80209-4084 | 2020-03-31 |
| 1356866511 | John Taylor Morrison | Preventive Medicine | 1065 S High St, Denver, CO 80209-4552 | 2017-08-09 |
| 1194172551 | Alfred Sellers | Preventive Medicine | 1105 Garlock Ln, Colorado Springs, CO 80918-3117 | 2016-05-16 |
| 1629417373 | Healthstat On-site Clinic/city of Loveland | Preventive Medicine | 1632 Topaz Ln, Loveland, CO 80537 | 2013-06-17 |
| 1376893966 | Healthstat- Steamboat Springs School District | Preventive Medicine | 325 7th St., Steamboat Springs, CO 80487 | 2012-09-12 |
| 1679800494 | Alisa Koval | Preventive Medicine | 1400 Jackson St., Denver, CO 80206 | 2009-11-16 |
| 1699924415 | James Philip Kornberg | Preventive Medicine | 12665 Highway 62, Ridgway, CO 81432 | 2008-09-17 |
| 1215105093 | Anthony Suruda | Preventive Medicine | 969 Reese Street, Silverton, CO 81433-0850 | 2008-02-14 |
| 1952422446 | Mark Norman Frank | Preventive Medicine | 3820 Barr Ct, Boulder, CO 80305-6503 | 2007-04-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WORKWELL OCCUPATIONAL MEDICINE.
| 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.