CEDAREDGE DOCTORS OFFICE PC (NPI# 1922060656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922060656 |
| Entity Type | Organization |
| Organization Name | CEDAREDGE DOCTORS OFFICE PC |
| Practice Address |
255 S Grand Mesa Dr Cedaredge CO 81413-3822 |
| Practice Telephone | 9708564111 |
| Practice Fax Number | 9708564114 |
| Mailing Telephone | 9708564111 |
| Mailing Fax Number | 9708564114 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2013-02-19 |
| Authorized Official Name | TERRY S WADE (PHYSICIAN/PRESIDENT) |
| Authorized Official Telephone | 9708564111 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | BLUE CROSS BLUE SHIELD | CE39326 | 01 |
| CO | 42323797 | 05 |
| Street Address |
255 S GRAND MESA DR |
| City | CEDAREDGE |
| State | CO |
| Zip Code | 81413-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243516 | Terry S Wade | Family Medicine | 255 S Grand Mesa Dr, Cedaredge, CO 81413-3822 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194066910 | Dottie Marie Williams-whitlock | Massage Therapist | 735 S. Grand Mesa Drive, Cedaredge, CO 81413 | 2013-03-04 |
| 1194897447 | Cedaredge Pharmacy Inc. | Pharmacy | 215 W. Main St, Cedaredge, CO 81413 | 2006-11-14 |
| 1972689933 | Kendra Kinney | Social Worker | 195 West Main, Cedaredge, CO 81413 | 2006-10-31 |
| 1326648254 | Surface Creek Family Practice PC | Family Medicine | 255 Sw 8th Ave, Cedaredge, CO 81413 | 2020-10-29 |
| 1245766716 | Essential Embodiment LLC | Home Infusion | 120 W Main St, Suite D, Cedaredge, CO 81413 | 2017-05-03 |
| 1053625798 | Julie Ann Fournier | Nurse Practitioner | 255 Sw 8th Ave, Surface Creek Family Practice, Cedaredge, CO 81413 | 2010-08-05 |
| 1003349093 | John George Breitnauer Jr. | Pharmacist | 215 W Main St, Cedaridge, CO 81413-1044 | 2017-04-06 |
| 1316429848 | Millennium Regenerative Medicine, Inc. | Clinic/Center | 175 E Main St, Cedaredge, CO 81413-3331 | 2018-08-31 |
| 1265633606 | Christin Dawn Hawbaker | Acupuncturist | 175 E Main St, Cedaredge, CO 81413-3331 | 2007-05-31 |
| 1093849564 | Timothy Parker Hawbaker | Acupuncturist | 175 E Main St, Cedaredge, CO 81413-3331 | 2007-03-15 |
| Find all providers in zip 81413 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243516 | Terry S Wade | Family Medicine | 255 S Grand Mesa Dr, Cedaredge, CO 81413-3822 | 2005-05-23 |
| 1326648254 | Surface Creek Family Practice PC | Family Medicine | 255 Sw 8th Ave, Cedaredge, CO 81413 | 2020-10-29 |
| 1184189425 | Mathew Mccullough | Family Medicine | 255 Sw 8th Ave, Cedaredge, CO 81413-3902 | 2019-01-31 |
| 1467583450 | Timothy C Meilner | Family Medicine | 255 Sw 8th Ave, Cedaredge, CO 81413-3902 | 2007-03-08 |
| 1093754491 | Kevin L Pulsipher | Family Medicine | 255 Sw 8th Ave, Cedaredge, CO 81413-3902 | 2006-06-04 |
| 1659318137 | Eric Anthony Peper | Family Medicine | 255 Sw 8th Ave, Cedaredge, CO 81413-3902 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334308 | Emily Laura Milligan | Family Medicine | 1032 E 14th Ave Apt 4, Denver, CO 80218-1923 | 2020-10-20 |
| 1265030829 | Paladina Health, LLC | Family Medicine | 11990 Grant St Ste 100, Northglenn, CO 80233-5156 | 2020-10-15 |
| 1073111381 | Paladina Health, LLC | Family Medicine | 3400 W 16th St Ste Y, Greeley, CO 80634-6862 | 2020-10-09 |
| 1376140137 | Colorado Physician Partners, Pllc | Family Medicine | 7920 S University Blvd Ste 203, Centennial, CO 80122-5103 | 2020-10-05 |
| 1659988616 | 5280 Medical Concierge Inc | Family Medicine | 2821 S Parker Rd Ste 574, Aurora, CO 80014-2735 | 2020-09-24 |
| 1144837105 | Dany Vexler Fnp-c LLC | Family Medicine | 2821 S Parker Rd Ste 575, Aurora, CO 80014-2713 | 2020-09-24 |
| 1851907489 | Inpatient Services, PC | Family Medicine | 1960 S Fordham St, Longmont, CO 80503-7777 | 2020-09-18 |
| 1043826795 | Alegis Care of Colorado LLC | Family Medicine | 2000 S Colorado Blvd Ste 1100, Denver, CO 80222-7957 | 2020-09-18 |
| 1790390821 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 10405 Martin Luther King Blvd Ste 120, Denver, CO 80238-2399 | 2020-09-15 |
| 1477167567 | 247 Doctor | Family Medicine | 22884 E Layton Ave, Aurora, CO 80015-6473 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CEDAREDGE DOCTORS OFFICE PC.
| 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.