CONNALLY OSTEOPATHIC CARE (NPI# 1780769349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780769349 |
| Entity Type | Organization |
| Organization Name | CONNALLY OSTEOPATHIC CARE |
| Practice Address |
2629 Redwing Rd Ste 310 Fort Collins CO 80526-2879 |
| Practice Telephone | 9702235479 |
| Practice Fax Number | 9702299891 |
| Mailing Telephone | 9702235479 |
| Mailing Fax Number | 9702299891 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PATRICIA A. CONNALLY (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 9702235479 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
43258 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
2629 REDWING RD STE 310 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-2879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| 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 |
|---|---|---|---|---|
| 1487138053 | Tyler Gallegos | Internal Medicine | 10526 Pierson Cir, Broomfield, CO 80021-3524 | 2018-09-19 |
| 1740897271 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-29 |
| 1629683321 | Poudre Valley Medical Group, LLC | Internal Medicine | 175 S Union Blvd Ste 350, Colorado Springs, CO 80910-3146 | 2020-09-10 |
| 1982213419 | Portercare Adventist Health System | Internal Medicine | 9695 S Yosemite St Ste 255b, Lone Tree, CO 80124-2890 | 2020-07-30 |
| 1477039907 | Boulder Biologics, LLC | Internal Medicine | 4745 Arapahoe Ave Ste 300, Boulder, CO 80303-1292 | 2018-07-18 |
| 1346778420 | Ryan Colleen Larkin | Internal Medicine | 2240 Buchtel Blvd, Denver, CO 80210-3447 | 2017-06-01 |
| 1891740932 | Kathleen D'angelo | Internal Medicine | 12207 Pecos St, Suite 300, Westminster, CO 80234-3400 | 2006-05-24 |
| City | FORT COLLINS |
| Zip Code | 80526 |
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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.