COMMUNITY MEDICAL GROUP, LLC (NPI# 1720625007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720625007 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL GROUP, LLC |
| Practice Address |
601 28 1/4 Rd Grand Junction CO 81506-6022 |
| Mailing Address |
Po Box 1727 Grand Junction CO 81502-1727 |
| Practice Telephone | 9702632670 |
| Practice Fax Number | 9702632686 |
| Mailing Telephone | 9702632619 |
| Mailing Fax Number | 9702632691 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |
| Authorized Official Name | CHRISTIAN THOMAS (PRESIDENT/CEO) |
| Authorized Official Telephone | 9706443011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| CMG SPECIALTY 7 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548807829 | Community Medical Group, LLC | Internal Medicine | 2532 Patterson Rd Ste 9-10, Grand Jct, CO 81505-3604 | 2019-12-05 |
| 1073150850 | Community Medical Group, LLC | Specialist | 551 Kokopelli Blvd Unit F, Fruita, CO 81521-6305 | 2019-11-29 |
| 1538713136 | Community Medical Group, LLC | Nurse Practitioner | 605 28 1/4 Rd, Grand Junction, CO 81506-6020 | 2019-07-31 |
| 1730505702 | Community Medical Group, LLC | Pediatrics | 601 28 1/4 Rd Unit B, Grand Junction, CO 81506-6022 | 2014-03-13 |
| 1700417425 | Community Medical Group, LLC | Family Medicine | 2373 G Rd Ste 270, Grand Junction, CO 81505-1006 | 2020-01-31 |
| 1457998411 | Community Medical Group, LLC | Family Medicine | 2373 G Rd, Grand Junction, CO 81505-1003 | 2019-12-09 |
| 1134766421 | Community Medical Group, LLC | Family Medicine | 2020 N 12th St, Grand Jct, CO 81501-2914 | 2019-12-05 |
| 1205473550 | Community Medical Group, LLC | Family Medicine | 2373 G Rd Ste 240, Grand Junction, CO 81505-1006 | 2019-12-05 |
| 1134766496 | Community Medical Group, LLC | Specialist | 1060 Orchard Ave Unit O, Grand Junction, CO 81501-2997 | 2019-12-05 |
| 1265079545 | Community Medical Group, LLC | Internal Medicine | 2373 G Rd Ste 280, Grand Junction, CO 81505-1006 | 2019-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Community Medical Group, LLC | 2351 G Road, Grand Junction, CO 81505 |
| Indiana Business Entities | COMMUNITY MEDICAL GROUP, LLC | 234 East Gray Street, Suite 262, Louisville, KY 40202 |
| Street Address |
601 28 1/4 RD |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81506-6022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588763528 | Tyler H Jolley | Dentist | 601 28 1/4 Rd, Grand Junction, CO 81506-6022 | 2006-09-22 |
| 1023336906 | Jonathan W Hathaway | Pediatrics | 601 28 1/4 Rd, Grand Junction, CO 81506-6022 | 2010-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1720646292 | Creed Ott | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1568948776 | Lakeside Psychological Services, LLC | Clinic/Center | 3154 Lakeside Dr Apt 103, Grand Junction, CO 81506 | 2018-07-11 |
| 1700389095 | Catherine Martha Plough | Registered Nurse | 2754 Compass Drive, Suite 377, Grand Junction, CO 81506 | 2018-03-13 |
| 1114445657 | Katrina Nicol Metcalf | Nurse Practitioner | 2643 Patterson Road Suite 605, Grand Junction, CO 81506 | 2017-09-05 |
| 1346760642 | Christopher Lewis Hoef II | Licensed Practical Nurse | 3031 N 14th St, Grand Junction, CO 81506 | 2017-06-27 |
| 1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
| 1073902284 | Brett Adams | Audiologist-Hearing Aid Fitter | 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 | 2015-01-12 |
| 1942625116 | Pamela W Kreps | Hearing Instrument Specialist | 759 Horizon Dr Ste E, Grand Junction, CO 81506 | 2014-02-25 |
| 1962779249 | Premere Rehab LLC | Occupational Therapist | 625 271/2 Road, Grand Junction, CO 81506 | 2011-11-30 |
| Find all providers in zip 81506 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281727 | Nichole Romero | Specialist | 1000 N 9th St Ste 41, Grand Junction, CO 81501-3153 | 2020-09-23 |
| 1043858442 | Grand Valley Orthopedics | Specialist | 2373 G Rd Ste 130, Grand Junction, CO 81505-1003 | 2019-12-16 |
| 1912563347 | Community Medical Group | Specialist | 2532 Patterson Rd Ste 9&10, Grand Junction, CO 81505-3604 | 2019-05-10 |
| 1982007175 | Integrity Hearing Center | Specialist | 2139 N 12th St Ste 9, Grand Junction, CO 81501-2910 | 2014-10-01 |
| 1639466600 | Robert Joe Dewinter | Specialist | 10920 59th St, Grand Junction, MI 49056-9552 | 2011-06-29 |
| 1831428549 | Suzanne Mcconnell | Specialist | 652 N Terrace Dr, Grand Junction, CO 81507-9743 | 2009-12-09 |
| 1588824437 | Colorado West Oral & Maxillofacial Surgery | Specialist | 2530 N 8th St Ste 103, Grand Junction, CO 81501-8856 | 2008-06-13 |
| 1497954606 | Neurological Associates of Western Colorado | Specialist | 2530 N 8th St Ste 206, Grand Junction, CO 81501 | 2007-07-17 |
| 1225252653 | Terrill J King-hamm | Specialist | 652 Terrace Dr, Grand Junction, CO 81503-8723 | 2007-04-13 |
| 1790809549 | Colorado Surgical Affiliates, LLC | Specialist | 2373 G Rd Ste 200, Grand Junction, CO 81505-1006 | 2007-03-19 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81506 |
Please comment or provide details below to improve the information on COMMUNITY MEDICAL GROUP, 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.