COLORADO PERMANENTE MEDICAL GROUP, P.C. (NPI# 1841643400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841643400 |
Entity Type | Organization |
Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
Other Organization Name | KAISER PERMANENTE WHEATRIDGE MEDICAL OFFICES |
Practice Address |
4803 Ward Rd Wheat Ridge CO 80033-1902 |
Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
Practice Telephone | 3033384545 |
Mailing Telephone | 3033384545 |
Enumeration Date | 2016-07-19 |
Last Update Date | 2019-09-24 |
Authorized Official Name | MATTHEW J SPLINTER (CPMG CFO) |
Authorized Official Telephone | 3033447345 |
Is Organization Subpart | Y |
Parent Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | CO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 04710083 | 05 |
Other Name | Type Code |
---|---|
Kaiser Permanente Wheatridge Medical Offices | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336775469 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 3920 N Union Blvd, Colorado Springs, CO 80907-4900 | 2020-03-20 |
1952937039 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 14701 E Exposition Ave, Aurora, CO 80012-2623 | 2020-03-20 |
1851927933 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2020-03-20 |
1669008744 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2020-03-20 |
1639641152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 2625 W Pueblo Blvd, Pueblo, CO 80014-5833 | 2018-12-21 |
1083161152 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 | 2016-09-07 |
1932655099 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 56 Edwards Village Blvd, Ste 208, Edwards, CO 81632-7802 | 2016-08-29 |
1487100541 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 215 S Parkside Dr, Ste 215, Colorado Springs, CO 80910-3131 | 2016-08-29 |
1205382363 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 1136 E Stuart St, Bldg 3, 2nd Floor, Fort Collins, CO 80525-1195 | 2016-08-29 |
1174079594 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 | 2016-08-26 |
Street Address |
4803 WARD RD |
City | WHEAT RIDGE |
State | CO |
Zip Code | 80033-1902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962409318 | Debra A Friesen | Internal Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2005-06-30 |
1932622198 | Denise K Johler | Registered Nurse | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-07-19 |
1487181483 | Hannelore Geeraert | Family Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-05-22 |
1720511892 | James Welle | Internal Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-04-06 |
1386181899 | Emily Mahar | Registered Nurse | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-01-22 |
1447708201 | Amanda Boshell | Registered Nurse | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-09-21 |
1891144879 | Megan Grace Wendlandt | Obstetrics & Gynecology | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-06-09 |
1700240439 | Lindsey Ruth Kolar | Family Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-04-08 |
1710357124 | Valerie Diana Karvatski | Nurse Practitioner | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2015-09-28 |
1114300936 | Michael Schmitz | Family Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2015-06-30 |
Find all providers in the same location |
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 | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013471580 | Lisa Marie-mausbach Bailey | Clinic/Center | 10474 W 38th Ave, Wheat Ridge, CO 80033-4010 | 2019-01-29 |
1710150800 | Apex Family Chiropractic | Clinic/Center | 7200 W 44th Ave, Wheat Ridge, CO 80033-4722 | 2008-04-09 |
1497930945 | Tjdmedical Center | Clinic/Center | 4251 Kipling St, Suite 560, Wheat Ridge, CO 80033-2896 | 2008-01-03 |
1801900576 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2006-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295334746 | Joel Allen Miller | Clinic/Center | 2125 Norwich Dr, Colorado Springs, CO 80920-5332 | 2020-10-25 |
1649879214 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201h, Erie, CO 80516-4072 | 2020-10-23 |
1285233882 | Boulder Community Health | Clinic/Center | 4745 Arapahoe Ave Ste 201, Boulder, CO 80303-1080 | 2020-10-23 |
1700485372 | Boulder Community Health | Clinic/Center | 2101 Ken Pratt Blvd Ste 104h, Longmont, CO 80501-6568 | 2020-10-23 |
1841899416 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 216a, Lafayette, CO 80026-2089 | 2020-10-23 |
1669079794 | Springfield Chiropractic LLC | Clinic/Center | 1302 S. Shields St., Suite A1-2, Fort Collins, CO 80521-4801 | 2020-10-01 |
1508470881 | San Luis Valley Community Mental Health Center | Clinic/Center | 260 Worth Street, Center, CO 81125 | 2020-09-03 |
1285248732 | San Luis Valley Community Mental Health Center | Clinic/Center | 409 Trinchera St, San Luis, CO 81152 | 2020-09-02 |
1629689658 | Yampa Valley Medical Center | Clinic/Center | 705 Marketplace Plz Ste 250, Steamboat Springs, CO 80487-1800 | 2020-08-13 |
1841817921 | Strive Health Pa LLC | Clinic/Center | 1600 Stout St Ste 2000, Denver, CO 80202-3113 | 2020-07-06 |
Find all providers with the same taxonomy |
City | WHEAT RIDGE |
Zip Code | 80033 |
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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.