PHILIP N. PRIEBE (NPI# 1720089014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720089014 |
| Entity Type | Individual |
| Full Name | PHILIP N. PRIEBE |
| Credential | M.D. |
| Practice Address |
1107 S Lemay Ave Suite 300 Fort Collins CO 80524-3957 |
| Practice Telephone | 9704937442 |
| Practice Fax Number | 9704932990 |
| Mailing Telephone | 9704937442 |
| Mailing Fax Number | 9704932990 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 38192 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | RAILROAD MEDICARE | P00419043 | 01 |
| CO | 91084865 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1024 S Lemay Ave, Fort Collins, CO 805243929 | 9704958800 | 9704958820 |
| Street Address |
1107 S LEMAY AVE SUITE 300 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871880 | Poudre Valley Medical Group, LLC | Internal Medicine | 1107 S Lemay Ave, Fort Collins, CO 80524-3960 | 2020-11-04 |
| 1811372857 | Kimberly Ann Perez | Advanced Practice Midwife | 1107 S Lemay Ave, Suite 300, Fort Collins, CO 80524-3960 | 2015-07-20 |
| 1073938783 | Kristin Glenn | Lactation Consultant, Non-RN | 1107 S Lemay Ave, Suite 300, Fort Collins, CO 80524-3960 | 2014-03-04 |
| 1043633324 | Benjamin Miceli | Physician Assistant | 1107 S Lemay Ave, Suite 240, Fort Collins, CO 80524-3960 | 2014-01-22 |
| 1851727077 | Erin Trebon | Social Worker | 1107 S Lemay Ave, Ste 200, Fort Collins, CO 80524 | 2013-09-19 |
| 1790044667 | Peggy Ann Schlomer | Registered Nurse | 1107 S Lemay Ave, Ste 240, Fort Collins, CO 80524-3960 | 2012-05-11 |
| 1285924720 | Amber Elizabeth Steves | Family Medicine | 1107 S Lemay Ave, Suite 200, Fort Collins, CO 80524-3960 | 2011-04-18 |
| 1003110412 | Karen L Bertasso | Physician Assistant | 1107 S Lemay Ave, Ste 240, Fort Collins, CO 80524-3960 | 2010-12-28 |
| 1902100571 | Poudre Valley Medical Group, LLC | Neurological Surgery | 1107 S Lemay Ave, Suite 240, Fort Collins, CO 80524-3959 | 2010-12-22 |
| 1336441013 | Roxanne Merle Slayden | Physician Assistant | 1107 S Lemay Ave, Suite 300, Fort Collins, CO 80524-3955 | 2010-12-01 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316328099 | Emilee Kingston Sandsmark | Obstetrics & Gynecology | 1012 Sycamore St, Fort Collins, CO 80521-1847 | 2015-06-17 |
| 1578581195 | Karen Elaine Hayes | Obstetrics & Gynecology | 1224 E Elizabeth St, Fort Collins, CO 80524-4007 | 2006-07-18 |
| 1033167192 | Michelle Lynn Tollefson | Obstetrics & Gynecology | 1107 S Lemay Ave Ste 100, Fort Collins, CO 80524-3955 | 2006-05-04 |
| 1558330266 | Nicole Marie Hannon Roberson | Obstetrics & Gynecology | 1107 S Lemay Avenue, Suite 300, Fort Collins, CO 80524-3955 | 2006-03-15 |
| 1912971342 | Gary Allen Ludwin | Obstetrics & Gynecology | 1107 S Lemay Ave Ste 300, Fort Collins, CO 80524-3955 | 2006-02-14 |
| 1417930280 | Suzanne E Saenz | Obstetrics & Gynecology | 2032 Lowe St Unit 103, Fort Collins, CO 80525-5772 | 2005-11-25 |
| 1437158565 | Jonathan Bradley Stern | Obstetrics & Gynecology | 1107 South Lemay Avenue, Suite 300, Fort Collins, CO 80524-3957 | 2005-07-20 |
| 1366058265 | Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | 4674 Snow Mesa Dr Ste 100, Fort Collins, CO 80528-8614 | 2020-09-17 |
| 1154934875 | A Womans Place LLC | Obstetrics & Gynecology | 2620 E Prospect Rd Ste 160, Fort Collins, CO 80525-9098 | 2020-08-24 |
| 1356987788 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 825 S Shields St, 6 and 7, Fort Collins, CO 80521-3590 | 2019-11-20 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
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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.