COMMUNITY MEDICAL GROUP, LLC (NPI# 1922573468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922573468 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL GROUP, LLC |
| Other Organization Name | GRAND VALLEY INFECTIOUS DISEASE |
| Practice Address |
2020 N 12th St Grand Junction CO 81501-2914 |
| Mailing Address |
Po Box 1727 Grand Junction CO 81502-1727 |
| Practice Telephone | 9706443820 |
| Practice Fax Number | 9706443917 |
| Mailing Telephone | 9702632619 |
| Mailing Fax Number | 9702632691 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | CHRISTIAN THOMAS (PRESIDENT/CEO) |
| Authorized Official Telephone | 9702420920 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| CMG Specialty 2 | Doing Business As Name - Organization |
| Grand Valley Infectious Disease | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548807829 | Community Medical Group, LLC | Internal Medicine | 2532 Patterson Rd Ste 9-10, Grand Jct, CO 81505-3604 | 2019-12-05 |
| 1073150850 | Community Medical Group, LLC | Specialist | 551 Kokopelli Blvd Unit F, Fruita, CO 81521-6305 | 2019-11-29 |
| 1538713136 | Community Medical Group, LLC | Nurse Practitioner | 605 28 1/4 Rd, Grand Junction, CO 81506-6020 | 2019-07-31 |
| 1730505702 | Community Medical Group, LLC | Pediatrics | 601 28 1/4 Rd Unit B, Grand Junction, CO 81506-6022 | 2014-03-13 |
| 1700417425 | Community Medical Group, LLC | Family Medicine | 2373 G Rd Ste 270, Grand Junction, CO 81505-1006 | 2020-01-31 |
| 1457998411 | Community Medical Group, LLC | Family Medicine | 2373 G Rd, Grand Junction, CO 81505-1003 | 2019-12-09 |
| 1720625007 | Community Medical Group, LLC | Specialist | 601 28 1/4 Rd, Grand Junction, CO 81506-6022 | 2019-12-05 |
| 1134766421 | Community Medical Group, LLC | Family Medicine | 2020 N 12th St, Grand Jct, CO 81501-2914 | 2019-12-05 |
| 1205473550 | Community Medical Group, LLC | Family Medicine | 2373 G Rd Ste 240, Grand Junction, CO 81505-1006 | 2019-12-05 |
| 1134766496 | Community Medical Group, LLC | Specialist | 1060 Orchard Ave Unit O, Grand Junction, CO 81501-2997 | 2019-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Community Medical Group, LLC | 2351 G Road, Grand Junction, CO 81505 |
| Indiana Business Entities | COMMUNITY MEDICAL GROUP, LLC | 234 East Gray Street, Suite 262, Louisville, KY 40202 |
| Street Address |
2020 N 12TH ST |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932164381 | Richard A Candelaria | Physician Assistant | 2020 N 12th St, Grand Junction, CO 81501-2914 | 2006-04-19 |
| 1588126957 | Nicole Stanley | Nurse Practitioner | 2020 N 12th St, Grand Junction, CO 81501-2914 | 2019-04-03 |
| 1336656941 | Katherine Rebecca Eckroth | Nurse Practitioner | 2020 N 12th St, Grand Junction, CO 81501-2914 | 2018-01-04 |
| 1306270004 | Yumi Elizabeth Siu Lee | Internal Medicine | 2020 N 12th St, Grand Junction, CO 81501-2914 | 2013-08-29 |
| 1154668788 | Julie M Deutsch | Registered Nurse | 2020 N 12th St, Grand Junction, CO 81501-2914 | 2013-01-16 |
| 1891071205 | Elizabeth Jeanne Kirtley | Specialist/Technologist | 2020 N 12th St, Grand Junction, CO 81501-2914 | 2011-10-30 |
| 1679645980 | Erica S Herrera | Physician Assistant | 2020 N 12th St, Grand Junction, CO 81501-2914 | 2006-11-14 |
| 1346281581 | Patrick Alan Sillix | Orthopaedic Surgery | 2020 N 12th St, Grand Junction, CO 81501-2914 | 2006-06-09 |
| 1922049543 | Mitchell Larry Copeland | Orthopaedic Surgery | 2020 N 12th St, Grand Junction, CO 81501-2914 | 2006-06-08 |
| 1720035140 | George Dieter Gromke | Orthopaedic Surgery | 2020 N 12th St, Grand Junction, CO 81501-2914 | 2006-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281727 | Nichole Romero | Specialist | 1000 N 9th St Ste 41, Grand Junction, CO 81501-3153 | 2020-09-23 |
| 1043858442 | Grand Valley Orthopedics | Specialist | 2373 G Rd Ste 130, Grand Junction, CO 81505-1003 | 2019-12-16 |
| 1912563347 | Community Medical Group | Specialist | 2532 Patterson Rd Ste 9&10, Grand Junction, CO 81505-3604 | 2019-05-10 |
| 1982007175 | Integrity Hearing Center | Specialist | 2139 N 12th St Ste 9, Grand Junction, CO 81501-2910 | 2014-10-01 |
| 1639466600 | Robert Joe Dewinter | Specialist | 10920 59th St, Grand Junction, MI 49056-9552 | 2011-06-29 |
| 1831428549 | Suzanne Mcconnell | Specialist | 652 N Terrace Dr, Grand Junction, CO 81507-9743 | 2009-12-09 |
| 1588824437 | Colorado West Oral & Maxillofacial Surgery | Specialist | 2530 N 8th St Ste 103, Grand Junction, CO 81501-8856 | 2008-06-13 |
| 1497954606 | Neurological Associates of Western Colorado | Specialist | 2530 N 8th St Ste 206, Grand Junction, CO 81501 | 2007-07-17 |
| 1225252653 | Terrill J King-hamm | Specialist | 652 Terrace Dr, Grand Junction, CO 81503-8723 | 2007-04-13 |
| 1790809549 | Colorado Surgical Affiliates, LLC | Specialist | 2373 G Rd Ste 200, Grand Junction, CO 81505-1006 | 2007-03-19 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
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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.