KELBY F. BETHARDS MD PROF. LLC (NPI# 1720067036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720067036 |
| Entity Type | Organization |
| Organization Name | KELBY F. BETHARDS MD PROF. LLC |
| Practice Address |
1017 Robertson St Fort Collins CO 80524-3926 |
| Practice Telephone | 9704725000 |
| Practice Fax Number | 9704906161 |
| Mailing Telephone | 9704725000 |
| Mailing Fax Number | 9704906161 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | KELBY F. BETHARDS (OWNER) |
| Authorized Official Telephone | 9704725000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 47802871 | 05 |
| Street Address |
1017 ROBERTSON ST |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449295 | Racheal Suzanne Carver | Massage Therapist | 1017 Robertson St, Fort Collins, CO 80524-3926 | 2020-08-28 |
| 1235760190 | Physiofit | Clinic/Center | 1017 Robertson St, Fort Collins, CO 80524-3926 | 2020-01-30 |
| 1154961001 | Windhorse Wellness, LLC | Chiropractor | 1017 Robertson St, Fort Collins, CO 80524-3926 | 2020-01-08 |
| 1962981837 | Madeline Hayes Kent | Nutritionist | 1017 Robertson St, Fort Collins, CO 80524-3915 | 2018-08-10 |
| 1649672189 | Disabled Resource Services | Voluntary or Charitable | 1017 Robertson St, Fort Collins, CO 80524-3915 | 2014-09-16 |
| 1790049716 | Wellspring Human Services | Community/Behavioral Health | 1017 Robertson St, Att. Inner Health Bldg, Fort Collins, CO 80524-3926 | 2012-06-25 |
| 1003124850 | Melody Maria Michel | Massage Therapist | 1017 Robertson St, Inner Health Building, Fort Collins, CO 80524-3926 | 2010-09-15 |
| 1922333020 | Julia R Braden | Massage Therapist | 1017 Robertson St, Innerhealth Bldg, Fort Collins, CO 80524-3926 | 2009-10-07 |
| 1467681320 | Rosanne Marie Cole | Social Worker | 1017 Robertson St, Att: Inner Health, Fort Collins, CO 80524-3926 | 2009-07-13 |
| 1194895847 | Dave Henley Collins | Massage Therapist | 1017 Robertson St, Fort Collins, CO 80524-3926 | 2006-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285703652 | Lifespan Family Medical Services | Clinic/Center | 320 W Olive St, Fort Collins, CO 80521-2716 | 2006-11-07 |
| 1912372137 | New Belgium Brewing Company, Inc. | Clinic/Center | 702a W Drake Rd, Fort Collins, CO 80526-5521 | 2015-12-14 |
| 1043513724 | Lifestyle Medicine At Miramont, LLC | Clinic/Center | 2211 S College Ave, Unit 300, Fort Collins, CO 80525-1489 | 2010-12-17 |
| 1932410693 | Incarnate LLC | Clinic/Center | 1901 Ames Ct, Fort Collins, CO 80526-6109 | 2010-06-28 |
| 1164401451 | Medical Acupuncture of Northern Colorado, Professional LLC | Clinic/Center | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2006-01-13 |
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| 1134731581 | Cync Health, Inc | Clinic/Center | 9284 Desert Willow Rd, Highlands Ranch, CO 80129-5715 | 2020-08-18 |
| 1992315279 | Gunnison Valley Family Physicians Crested Butte | Clinic/Center | 214 6th Street, Suite 1, Crested Butte, CO 81224 | 2020-08-03 |
| 1386261493 | Keystone Primary Care | Clinic/Center | 11111 E Mississippi Ave Ste 112, Aurora, CO 80012-3106 | 2020-07-06 |
| 1518582865 | Pediatrics West, P.C. | Clinic/Center | 13402 W Coal Mine Ave Ste 200, Littleton, CO 80127-5407 | 2020-06-12 |
| 1902420862 | Cloud Medical LLC | Clinic/Center | 3601 Arapahoe Ave # D-176, Boulder, CO 80303-1310 | 2020-06-05 |
| 1063034221 | Premier Primary Care Clinic LLC | Clinic/Center | 3000 Lawrence St, Denver, CO 80205-3422 | 2020-05-11 |
| 1992330500 | Quality Medical Clinic LLC | Clinic/Center | 3604 Galley Rd Ste 201, Colorado Springs, CO 80909-4301 | 2020-03-04 |
| 1992344659 | Metropolitan General Practice PC | Clinic/Center | 7400 E Crestline Cir Ste 105, Greenwood Village, CO 80111-3656 | 2019-12-29 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on KELBY F. BETHARDS MD PROF. 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.