| Integrated Medical Group | |
|
2244 E Harmony Rd Ste 110 Fort Collins CO 80528-3422 | |
| (970) 226-1117 | |
| (970) 226-0251 |
| Full Name | Integrated Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2244 E Harmony Rd Ste 110, Fort Collins, Colorado |
| Authorized Official Name and Position | Tarryn Leigh Farrell (CFO) |
| Authorized Official Contact | 9702261117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medical Group 2244 E Harmony Rd Ste 110 Fort Collins CO 80528-3422 Ph: (970) 226-1117 | Integrated Medical Group 2244 E Harmony Rd Ste 110 Fort Collins CO 80528-3422 Ph: (970) 226-1117 |
| NPI Number | 1700273083 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 02/22/2018 |
| Medicare PECOS PAC ID | 4082975537 |
|---|---|
| Medicare Enrollment ID | O20180227000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700273083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Colorado) | Primary |
| 363L00000X | Nurse Practitioner | (Colorado) | Secondary |
| Provider Name | Michael W Farrell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215137351 PECOS PAC ID: 2163507534 Enrollment ID: I20080310000231 |
| Provider Name | Megan J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821312489 PECOS PAC ID: 2264610831 Enrollment ID: I20110629000866 |
| Provider Name | Tamara Rae Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992739890 PECOS PAC ID: 7618905704 Enrollment ID: I20120601000305 |
| Provider Name | Anne K Green |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689842312 PECOS PAC ID: 4183778079 Enrollment ID: I20140318001381 |
| Provider Name | Stephanie Lillibridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821518861 PECOS PAC ID: 2567732704 Enrollment ID: I20170721000626 |
| Provider Name | Laurie Niles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073059465 PECOS PAC ID: 0345512422 Enrollment ID: I20170824001302 |
| Provider Name | Derrick L Torba |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558880641 PECOS PAC ID: 1254606866 Enrollment ID: I20171009000656 |
| Provider Name | Melanie D Zimmermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649782111 PECOS PAC ID: 8022379155 Enrollment ID: I20180306000314 |
| Provider Name | Stephanie J Speetzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386125631 PECOS PAC ID: 3971855115 Enrollment ID: I20181016002664 |
| Provider Name | Elise J Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104396498 PECOS PAC ID: 9830435015 Enrollment ID: I20190109000335 |
| Provider Name | Rhonda C Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568935484 PECOS PAC ID: 6103168471 Enrollment ID: I20190507001796 |
Children's Hospital Colorado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Oak Park Dr, Fort Collins, CO 80525 Phone: 970-267-9510 | |
Alpenglow Medical Prof. Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 Robertson St, Fort Collins, CO 80524 Phone: 970-482-3820 Fax: 970-482-4942 | |
Woodward Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3702 Automation Way, Suite 103, Fort Collins, CO 80525 Phone: 970-495-6201 | |
Starlight Health, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 313 W Drake Rd, Fort Collins, CO 80526 Phone: 970-632-0135 | |
Jan Hester Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 E Elizabeth #g1, Fort Collins, CO 80524 Phone: 970-493-2776 Fax: 970-493-2772 | |
Lifestyle Medicine At Miramont, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2211 S College Ave, Unit 300, Fort Collins, CO 80525 Phone: 970-237-6339 Fax: 970-482-2091 | |
J. David Cranor Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2105 Bighorn Dr., #102, Fort Collins, CO 80525 Phone: 970-226-6000 Fax: 970-226-6007 |