COLORADO PERMANENTE MEDICAL GROUP, P.C. (NPI# 1932655099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932655099 |
| Entity Type | Organization |
| Organization Name | COLORADO PERMANENTE MEDICAL GROUP, P.C. |
| Other Organization Name | KAISER PERMANENTE EDWARDS MEDICAL OFFICES |
| Practice Address |
56 Edwards Village Blvd Ste 208 Edwards CO 81632-7802 |
| Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2019-09-25 |
| 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 Edwards 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 |
| 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 |
| 1881140200 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 10168 Parkglenn Way, Parker, CO 80138-3868 | 2016-08-26 |
| Street Address |
56 EDWARDS VILLAGE BLVD STE 208 |
| City | EDWARDS |
| State | CO |
| Zip Code | 81632-7802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033213210 | Shannon Dee Garton | Family Medicine | 56 Edwards Village Blvd, Suite 208, Edwards, CO 81632-7802 | 2006-09-11 |
| 1801346226 | B-linexpress LLC. | Non-emergency Medical Transport (VAN) | 56 Edwards Village Blvd, The Edwards Corner Building Suite 207, Edwards, CO 81632-7802 | 2016-10-10 |
| 1972973212 | Polly Hastie | Nurse Practitioner | 56 Edwards Village Blvd, Suite 226, Edwards, CO 81632-7802 | 2015-09-29 |
| 1831577931 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 56 Edwards Village Blvd, Edwards, CO 81632-7802 | 2015-05-11 |
| 1962889238 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 56 Edwards Village Blvd, Edwards, CO 81632-7802 | 2015-05-06 |
| 1710372248 | Thrivemd PC | Anesthesiology | 56 Edwards Village Blvd, Suite 113, Edwards, CO 81632-7802 | 2015-04-01 |
| 1396169389 | Janet Marie Graham | Nurse Practitioner | 56 Edwards Village Blvd, Ste 208, Edwards, CO 81632-7802 | 2014-02-11 |
| 1629310107 | Mountain Vein Care Professional LLC | Clinic/Center | 56 Edwards Village Blvd, Suite 226, Edwards, CO 81632-7802 | 2013-03-21 |
| 1922380278 | Palic Miller Pllc | Chiropractor | 56 Edwards Village Blvd, 113, Edwards, CO 81632-7802 | 2011-09-13 |
| 1255610119 | Rocky Mountain Audiology LLC | Audiologist | 56 Edwards Village Blvd, Suite 222, Edwards, CO 81632-7802 | 2011-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771258 | Bsig Rx LLC | Pharmacy | 105 Edwards Village Blvd., Unit G-107, Edwards, CO 81632 | 2020-08-24 |
| 1700430535 | Luke Cobb | Chiropractor | 128 Main St #c6, Edwards, CO 81632 | 2019-07-30 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1073092037 | Ryan G Zastrow, Dds, Pllc | Dentist | 275 Main St Unit O 203, Edwards, CO 81632 | 2018-08-10 |
| 1093216046 | Mauricio Cadavid | Massage Therapist | Vimg, 105 Edwards Village Center A-203, Edwards, CO 81632 | 2018-02-26 |
| 1083113765 | Mountain Valley Kids Dental, Pllc | Dentist | 105 Edwards Village Blvd., #d-202, Po Box 41, Edwards, CO 81632 | 2018-02-07 |
| 1760903447 | Bryan Diekmann | Specialist/Technologist | 1140 Edwards Village Blvd. Ste 105, Edwards, CO 81632 | 2017-07-03 |
| 1457702409 | Anesthesia Partners of Colorado | Anesthesiology | 230 Foal Circle, Edwards, CO 81632 | 2016-06-30 |
| 1720437148 | Sheila Griffith | Specialist | 105 Edwards Village Blvd Suite G201, Edwards, CO 81632 | 2016-06-07 |
| 1992107171 | Sara Bentley | Physical Therapist | 105 Edwards Village Center, Suite A203, Edwards, CO 81632 | 2014-09-19 |
| Find all providers in zip 81632 | ||||
| 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 |
|---|---|---|---|---|
| 1023621299 | Vail Clinic, Inc. | Clinic/Center | 322 Beard Creek Road, Edwards, CO 81632-6426 | 2020-08-28 |
| 1043866957 | Vail Clinic, Inc. | Clinic/Center | 320 Beard Creek Road, Edwards, CO 81632 | 2019-08-15 |
| 1144876251 | Vail Clinic, Inc. | Clinic/Center | 322 Beard Creek Rd, Edwards, CO 81632-6426 | 2019-08-14 |
| 1881143840 | Vvmc Diversified Services | Clinic/Center | 322 Beard Creek Rd, Edwards, CO 81632 | 2016-09-30 |
| 1962889238 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 56 Edwards Village Blvd, Edwards, CO 81632-7802 | 2015-05-06 |
| 1326222027 | Vvmc Diversified Services | Clinic/Center | 320 Beard Creek Road, Edwards, CO 81632 | 2007-12-18 |
| 1316019847 | Jamie Brant Md Pllc | Clinic/Center | 320 Beard Creek Rd, Edwards, CO 81632 | 2006-11-13 |
| 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 | ||||
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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.