FRONT RANGE PAIN MEDICINE (NPI# 1992823645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992823645 |
Entity Type | Organization |
Organization Name | FRONT RANGE PAIN MEDICINE |
Practice Address |
3744 S Timberline Rd Suite 102 Fort Collins CO 80525-4333 |
Mailing Address |
709 Boulder Cir Fort Collins CO 80524-9252 |
Practice Telephone | 9704950506 |
Practice Fax Number | 9704844514 |
Mailing Telephone | 9704980511 |
Mailing Fax Number | 9704844514 |
Enumeration Date | 2007-03-27 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. THOMAS BOYLAN (OWNER) |
Authorized Official Telephone | 9704950506 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
28646 | CO | Allopathic & Osteopathic Physicians |
Street Address |
3744 S TIMBERLINE RD SUITE 102 |
City | FORT COLLINS |
State | CO |
Zip Code | 80525-4333 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912905225 | Brenda Kaye Cummings | Occupational Therapist | 3744 S Timberline Rd, Suite 103, Fort Collins, CO 80525-4333 | 2005-07-11 |
1487253795 | Logan Anthony Johnson | Occupational Therapist | 3744 S Timberline Rd, Fort Collins, CO 80525-4333 | 2020-10-19 |
1356639140 | Colin Michael Carpenter | Physical Medicine & Rehabilitation | 3744 S Timberline Rd, Fort Collins, CO 80525-4333 | 2011-07-14 |
1265674279 | Michael Brien Brown | Anesthesiology | 3744 S Timberline Rd, Suite 102, Fort Collins, CO 80525-4333 | 2009-04-06 |
1154584266 | Matthew David Pouliot | Physical Medicine & Rehabilitation | 3744 S Timberline Rd, Suite 102, Fort Collins, CO 80525-4333 | 2008-07-08 |
1881864148 | Front Range Pain Medicine LLC | Pain Medicine | 3744 S Timberline Rd, Suite 102, Fort Collins, CO 80525-4334 | 2008-03-03 |
1134341209 | Debra Dennis | Physician Assistant | 3744 S Timberline Rd, Suite 102, Fort Collins, CO 80525-4334 | 2007-05-02 |
1265552749 | Marta Kara Charlene Rose | Nurse Practitioner | 3744 S Timberline Rd, Suite 102, Fort Collins, CO 80525-4333 | 2007-03-30 |
1982780342 | Jennifer Joan Wiley | Physical Therapist | 3744 S Timberline Rd, Suite 103, Fort Collins, CO 80525-4333 | 2006-10-28 |
1417987645 | Harmony Hand & Physical Therapy Center, Inc | Clinic/Center | 3744 S Timberline Rd, Suite 103, Fort Collins, CO 80525-4333 | 2006-07-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
Find all providers in zip 80525 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265674279 | Michael Brien Brown | Anesthesiology | 3744 S Timberline Rd, Suite 102, Fort Collins, CO 80525-4333 | 2009-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811507924 | Portercare Adventist Health System | Anesthesiology | 2535 S Downing St Ste 180, Denver, CO 80210-5863 | 2020-08-04 |
1942819578 | Catholic Health Initiatives Colorado | Anesthesiology | 11700 W 2nd Pl Ste 225, Lakewood, CO 80228-1707 | 2020-07-29 |
1407481740 | Colorado Pain Practice, LLC | Anesthesiology | 1355 S Colorado Blvd Ste 700, Denver, CO 80222-3325 | 2020-03-06 |
1699300376 | Colorado Pain Practice, LLC | Anesthesiology | 1189 S Perry St Ste 230, Castle Rock, CO 80104-1959 | 2020-03-03 |
1225553050 | Colorado Health Providers LLC | Anesthesiology | 3810 N. Grant Ave, Loveland, CO 80538-8412 | 2017-08-14 |
1487179214 | Colorado Health Providers LLC | Anesthesiology | 7251 W 20th St Unit N, Greeley, CO 80634-4626 | 2017-08-14 |
1154846939 | Colorado Pain Practice, Pllc | Anesthesiology | 2696 S Colorado Blvd Ste 100, Denver, CO 80222 | 2017-08-14 |
1669998498 | Colorado Health Providers LLC | Anesthesiology | 3000 Center Green Dr Ste 120, Boulder, CO 80301-2364 | 2017-08-14 |
1104365451 | Martin J Verhey M.d. LLC | Anesthesiology | 380 Paisley Dr, Colorado Springs, CO 80906-8251 | 2017-02-20 |
1336509694 | The Pain Remedy Institute | Anesthesiology | 14991 E Hampden Ave Ste 165, Aurora, CO 80014-3980 | 2016-02-29 |
Find all providers with the same taxonomy |
City | FORT COLLINS |
Zip Code | 80525 |
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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.