FORT COLLINS PRIMARY CARE PLLC (NPI# 1750517686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750517686 |
| Entity Type | Organization |
| Organization Name | FORT COLLINS PRIMARY CARE PLLC |
| Practice Address |
1006 Robertson St Fort Collins CO 80524-3900 |
| Practice Telephone | 9704849027 |
| Mailing Telephone | 9704849027 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |
| Authorized Official Name | DR. RICHARD WALKER JOHNSON (OWNER) |
| Authorized Official Telephone | 9704849027 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 19654 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
1006 ROBERTSON ST |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891797171 | Richard W Johnson | Internal Medicine | 1006 Robertson St, Ste 104, Fort Collins, CO 80524-3948 | 2005-06-01 |
| 1932646684 | Gregory Mavrides | Social Worker | 1006 Robertson St, Ste C, Fort Collins, CO 80524-3900 | 2017-01-19 |
| 1811340912 | Professional Counseling and Hypnosis LLC | Psychologist | 1006 Robertson St, West Wing, Lwr Level, Fort Collins, CO 80524-3900 | 2016-07-13 |
| 1063867703 | Faren Jane Peterson | Counselor | 1006 Robertson St, Bldg 2, Fort Collins, CO 80524-3900 | 2016-05-02 |
| 1679931182 | Heritage Family Medicine LLC | Family Medicine | 1006 Robertson St, Fort Collins, CO 80524-3900 | 2016-01-29 |
| 1548527138 | Fort Collins Family Care | Family Medicine | 1006 Robertson St, Fort Collins, CO 80524-3900 | 2012-04-19 |
| 1689953671 | Kelly Sonnenfeld | Counselor | 1006 Robertson St, Suite B, Fort Collins, CO 80524-3900 | 2011-08-09 |
| 1720223548 | Dale E. Daniel | Counselor | 1006 Robertson St, Fort Collins, CO 80524-3900 | 2008-12-08 |
| 1073667317 | Venkataperumal R Chandrasekaran | General Practice | 1006 Robertson St, Fort Collins, CO 80524-3900 | 2007-01-23 |
| 1669535118 | Heritage Family Medicine | Nurse Practitioner | 1006 Robertson St, Fort Collins, CO 80524 | 2006-12-18 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1255806394 | Cephus Daniel Vincent Allin | Internal Medicine | 507 Spindrift Ct, Fort Collins, CO 80525-3150 | 2018-10-04 |
| 1528407749 | Elizabeth Michell | Internal Medicine | 2749 Coal Bank Dr, Fort Collins, CO 80525-6126 | 2013-06-20 |
| 1083810709 | Robert Haig Ellis | Internal Medicine | 2412 Brookwood Drive, Fort Collins, CO 80525-1908 | 2007-06-21 |
| 1437299468 | Dilaawar J. Mistry | Internal Medicine | 2021 Battlecreek Dr Unit A, Fort Collins, CO 80528-5120 | 2007-02-07 |
| 1851447668 | Patrick Dewey Webb | Internal Medicine | 3702 S Timberline Rd Ste A, Fort Collins, CO 80525-3625 | 2007-01-25 |
| 1518050301 | Lance E Barker | Internal Medicine | 1106 E Prospect Rd Ste 100, Fort Collins, CO 80525-5304 | 2006-10-02 |
| 1174620595 | Christopher R Drysdale | Internal Medicine | 4674 Snow Mesa Drive, Ste 120, Fort Collins, CO 80528 | 2006-09-20 |
| 1952403131 | Lyle Petersen | Internal Medicine | 1209 Maren Cove, Fort Collins, CO 80525 | 2006-09-01 |
| 1073540571 | James D Hendrick | Internal Medicine | 1939 Wilmington Dr, Suite 102, Fort Collins, CO 80528-6404 | 2006-06-28 |
| 1124062427 | Sukhjinder Khera | Internal Medicine | 2950 E Harmony Rd Ste 190, Fort Collins, CO 80528-3430 | 2006-06-16 |
| 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.