SOURCE 1 (NPI# 1821321860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821321860 |
| Entity Type | Organization |
| Organization Name | SOURCE 1 |
| Other Organization Name | FLATIRONS SPORTS MEDICINE OR SOURCE 1-DME |
| Practice Address |
3550 Luthern Parkway Suite 210 Wheat Ridge CO 80033 |
| Mailing Address |
3012 Mica Ct Superior CO 80027-4548 |
| Practice Telephone | 3034566051 |
| Practice Fax Number | 3034566052 |
| Mailing Telephone | 3035546699 |
| Mailing Fax Number | 3035546700 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-15 |
| Authorized Official Name | MR. TRACY JOHN FOX (OWNER) |
| Authorized Official Telephone | 3033247674 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOURCE 1 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
4274647 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MAIN BUSINESS LOCATION NPI FOR SOURCE 1 | 1609109776 | 01 |
| Other Name | Type Code |
|---|---|
| Flatirons sports medicine or Source 1-DME | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063749265 | Source 1 | Durable Medical Equipment & Medical Supplies | 1615 Foxtrail Dr Ste 190, Loveland, CO 80538-9087 | 2009-11-09 |
| 1578896502 | Source 1 | Durable Medical Equipment & Medical Supplies | 80 Health Park Dr Ste 250, Louisville, CO 80027-4645 | 2009-09-09 |
| 1609109776 | Source 1 | Durable Medical Equipment & Medical Supplies | 3012 Mica Ct, Superior, CO 80027-4548 | 2009-09-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | SOURCE 1 | Four Westbrook Corporate Center, Suite 500, Westchester, IL 60154 |
| System for Award Management (SAM) Entities | SOURCE 1 ALLOYS, INC. | 11567 Goldcoast Dr, Cincinnati, OH 45249-1633 |
| Ohio Business Entities | SOURCE 1 BENEFITS | Four Westbrook Corporate Center, Suite 500, Westchester, IL 60154 |
| Oklahoma Business Registrations | SOURCE 1 CONSTRUCTION, LLC | 2247 Bethany Church Rd, Monroe, GA 30655 |
| Colorado Business Entities | Source 1 Inc | 3012 Mica Court, Superior, CO 80027 |
| Oregon Corporations, Companies and Business Names | SOURCE 1 LIVESTOCK SUPPLY LLC | 10333 Nw Oak Ln, Redmond, OR 97756 |
| Colorado Business Entities | SOURCE 1 LLC | 316 N 8th Street, Manassa, CO 81141 |
| Colorado Business Entities | Source 1, LLC. | 160 Pheasant Run, Louisville, CO 80027 |
| Connecticut Business Registrations | Source 1a LLC | 990 Amaryllis Ave, Oradell, NJ 07649 |
| Street Address |
3550 LUTHERN PARKWAY SUITE 210 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801947635 | Oxygen Plus Inc | Durable Medical Equipment & Medical Supplies | 5161 Ward Road, Unit 6, Wheat Ridge, CO 80033 | 2007-01-16 |
| 1750317095 | Shoe Fitters | Durable Medical Equipment & Medical Supplies | 7220 W 38th Ave, Wheat Ridge, CO 80033-4841 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314379 | Adaptive Mobility, LLC | Durable Medical Equipment & Medical Supplies | 3914 Sandalwood Ln, Pueblo, CO 81005-2586 | 2020-10-19 |
| 1285257485 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 2387 River Rd Ste 130, Grand Junction, CO 81505-1350 | 2020-05-21 |
| 1952936577 | Asm LLC | Durable Medical Equipment & Medical Supplies | 788 W 8th Ave, Denver, CO 80204-4330 | 2020-03-04 |
| 1932746187 | Worldwide Medical Supply | Durable Medical Equipment & Medical Supplies | 10890 E Dartmouth Ave Ste Hi, Denver, CO 80014-4845 | 2019-12-06 |
| 1114577434 | Deleene Howard | Durable Medical Equipment & Medical Supplies | 4760 S Wadsworth Blvd # 201, Littleton, CO 80123-1310 | 2019-09-18 |
| 1710455027 | Comed Ventures LLC | Durable Medical Equipment & Medical Supplies | 1427 S Federal Blvd Ste B, Denver, CO 80219-4720 | 2018-11-05 |
| 1194239343 | Sunshine Dentistry PC | Durable Medical Equipment & Medical Supplies | 100 Park Ave Ste 212, Steamboat Springs, CO 80487-5185 | 2017-11-27 |
| 1679002356 | Rocky Mountain Anaplastology Inc | Durable Medical Equipment & Medical Supplies | 3405 S Yarrow St Unit C, Lakewood, CO 80227-4901 | 2017-06-07 |
| 1316486236 | Spinepro LLC | Durable Medical Equipment & Medical Supplies | 5744 Blue Feather Pl, Longmont, CO 80503-7344 | 2017-02-13 |
| 1720432826 | Ascent Mobility Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 747 Sheridan Blvd Unit 4b, Lakewood, CO 80214-2560 | 2016-04-15 |
| Find all providers with the same taxonomy | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
Please comment or provide details below to improve the information on SOURCE 1.
| 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.