DR. JACOB CHUA LIAO ONG (NPI# 1700856671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700856671 |
| Entity Type | Individual |
| Full Name | DR. JACOB CHUA LIAO ONG |
| Credential | M.D. |
| Practice Address |
1625 Foxtrail Dr Suite 200 Loveland CO 80538-9088 |
| Practice Telephone | 9704904209 |
| Mailing Telephone | 9704904209 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2016-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 37327 | CO | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
37327 | CO | Allopathic & Osteopathic Physicians |
| N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
37327 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE RR | P00162672 | 01 |
| WY | 120663000 | 05 | |
| NE | 10025181600 | 05 | |
| CO | 78088577 | 05 |
| Street Address |
1625 FOXTRAIL DR SUITE 200 |
| City | LOVELAND |
| State | CO |
| Zip Code | 80538-9088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453837 | Jordan L Frishman | Internal Medicine | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9088 | 2005-08-09 |
| 1063890440 | George W. Holling Dds, Ms, PC | Dentist | 1625 Foxtrail Dr, Suite 100, Loveland, CO 80538-9088 | 2015-05-18 |
| 1063765675 | Chad Riggs | Dentist | 1625 Foxtrail Dr, Suite 100, Loveland, CO 80538-9089 | 2012-10-19 |
| 1407012826 | Heron Lake LLC | Clinic/Center | 1625 Foxtrail Dr, Ste 190, Loveland, CO 80538-9088 | 2008-08-05 |
| 1942468129 | Deric Mcintosh | Family Medicine | 1625 Foxtrail Dr, Ste 190, Loveland, CO 80538 | 2008-05-24 |
| 1194841759 | Ann T Davies | Family Medicine | 1625 Foxtrail Dr, Ste 190, Loveland, CO 80538 | 2007-03-22 |
| 1225008196 | Robert Lewis Peskind | Internal Medicine | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9088 | 2006-01-24 |
| 1376526533 | Amy N Patrick | Physician Assistant | 1625 Foxtrail Dr, Loveland, CO 80538-9088 | 2005-11-22 |
| 1881695062 | George William Holling | Dentist | 1625 Foxtrail Dr, Suite 100, Loveland, CO 80538-9088 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332385 | Jocelyn Stott | Social Worker | 1611 N Estrella Avenue, Loveland, CO 80538 | 2020-10-02 |
| 1184234049 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 383 W. 37th St., Ste. 104, Loveland, CO 80538 | 2020-08-05 |
| 1578102752 | Shela Wagner | Student in an Organized Health Care Education/Training Program | 2603 North Monroe Ave, Loveland, CO 80538 | 2020-01-05 |
| 1184261901 | Sierra Compton | Behavior Technician | 2906 Ginnala Drive, Loveland, CO 80538 | 2019-12-01 |
| 1497306138 | Warrior Diagnostics, Inc. | Clinical Medical Laboratory | 6215 Aviation Cir., Loveland, CO 80538 | 2019-09-24 |
| 1093372625 | Kimberly Ann Boogaerts | Behavior Technician | 1437 North Denver Ave Ste 237, Loveland, CO 80538 | 2019-05-20 |
| 1033676101 | Hero Vision of Loveland, LLC | Optometrist | 3515 Mountain Lion Drive, Loveland, CO 80538 | 2019-02-26 |
| 1225509201 | Mbbk Consulting Inc. | Day Training, Developmentally Disabled Services | 4115 Georgetown Drive, Loveland, CO 80538 | 2018-12-17 |
| 1457833808 | Judy A Elliott | Speech-Language Pathologist | 3232 Williamsburg St, Loveland, CO 80538 | 2018-09-02 |
| 1245756584 | Beth Joyce Hale | Counselor | 1440 W.29th, #100, Loveland, CA 80538 | 2017-08-18 |
| Find all providers in zip 80538 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1467453837 | Jordan L Frishman | Internal Medicine | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9088 | 2005-08-09 |
| 1306468400 | Poudre Valley Medical Group, LLC | Internal Medicine | 1625 Foxtrail Dr Ste 200, Loveland, CO 80538-9089 | 2020-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959637 | Gtg Colorado LLC | Internal Medicine | 1959 Wewatta St Unit 516, Denver, CO 80202-6624 | 2020-10-11 |
| 1497368674 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 2643 Patterson Rd Ste 406, Grand Junction, CO 81506-1937 | 2020-08-26 |
| 1255985388 | James Joseph Marr Jr. | Internal Medicine | 14885 Irving St, Broomfield, CO 80023-9409 | 2019-07-26 |
| 1659728087 | Clay Watson Md Pllc | Internal Medicine | 3800 Buchtel Blvd, #100984, Denver, CO 80250-7501 | 2016-05-16 |
| 1578909032 | Kathryn Lee Springer M.d. P.C. | Internal Medicine | 950 E Harvard Ave Ste 690, Denver, CO 80210-7011 | 2013-05-10 |
| 1588925044 | Benjamin Harrold White | Internal Medicine | 3303 W 144th Ave Unit 103, Broomfield, CO 80023-9464 | 2012-05-31 |
| 1891060935 | Sharma PC | Internal Medicine | 10604 Chadsworth Ln, Highlands Ranch, CO 80126-7508 | 2012-03-21 |
| 1356641500 | Kenneth F Baum Md PC | Internal Medicine | 73 Jasmine St, Denver, CO 80220-5910 | 2010-10-21 |
| 1720317746 | Jacob Thomas Cross Jr. | Internal Medicine | 4320 Grantham Ct, Colorado Springs, CO 80906-4365 | 2009-12-22 |
| 1649504085 | Jatinbhai J Patel | Internal Medicine | 4737 Eagleridge Cir, Apt#203, Pueblo, CO 81008-2199 | 2009-10-01 |
| Find all providers with the same taxonomy | ||||
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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.