North Colorado Family Medicine | |
1600 23rd Ave Greeley CO 80634-6070 | |
(602) 747-4000 | |
Not Available |
Full Name | North Colorado Family Medicine |
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Speciality | Clinic/Center |
Location | 1600 23rd Ave, Greeley, Colorado |
Authorized Official Name and Position | Dennis Laraway (CFO) |
Authorized Official Contact | 6027474000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Colorado Family Medicine 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | North Colorado Family Medicine 1600 23rd Ave Greeley CO 80634-6070 Ph: (602) 747-4000 |
NPI Number | 1083642680 |
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Provider Enumeration Date | 06/30/2006 |
Last Update Date | 01/13/2022 |
Medicare PECOS PAC ID | 0941282271 |
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Medicare Enrollment ID | O20040602000221 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083642680 | NPI | - | NPPES |
04021291 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Kurt T Dallow |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376528851 PECOS PAC ID: 5092799601 Enrollment ID: I20040614000194 |
Provider Name | Jeffrey S Cook |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992781892 PECOS PAC ID: 1557393071 Enrollment ID: I20050906000910 |
Provider Name | Zachary Alan Flake |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912946377 PECOS PAC ID: 8123063450 Enrollment ID: I20080124000451 |
Provider Name | Samuel Ogden |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710945738 PECOS PAC ID: 6204886559 Enrollment ID: I20080214000418 |
Provider Name | Tanya S Unrein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710162573 PECOS PAC ID: 2163506924 Enrollment ID: I20080303000832 |
Provider Name | Teresa M Sieg |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1962653477 PECOS PAC ID: 3870656929 Enrollment ID: I20090115000270 |
Provider Name | Wayne S Jeffers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952390114 PECOS PAC ID: 5597802728 Enrollment ID: I20091021000168 |
Provider Name | David B Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962491969 PECOS PAC ID: 5991991093 Enrollment ID: I20101201001043 |
Provider Name | Herbert D Fahrenholtz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811986169 PECOS PAC ID: 4486840469 Enrollment ID: I20101202000629 |
Provider Name | Mitzi A Mcgarr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538159306 PECOS PAC ID: 9931395928 Enrollment ID: I20101202000792 |
Provider Name | Edwin Risenhoover |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669421822 PECOS PAC ID: 1759399082 Enrollment ID: I20110106000964 |
Provider Name | Justin J Walker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871799726 PECOS PAC ID: 5698955912 Enrollment ID: I20110203000653 |
Provider Name | Brian A Leonard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265683098 PECOS PAC ID: 2163696956 Enrollment ID: I20111111000621 |
Provider Name | Erin Inglis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174645238 PECOS PAC ID: 6901093244 Enrollment ID: I20111130000149 |
Provider Name | Samuel W Davis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336407758 PECOS PAC ID: 3173755840 Enrollment ID: I20140514001598 |
Provider Name | Colleen M Dupuis |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1356661011 PECOS PAC ID: 9335369776 Enrollment ID: I20141006002393 |
Provider Name | Tracy L Lujan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518338599 PECOS PAC ID: 4587965447 Enrollment ID: I20151217001891 |
Provider Name | Asa F Ware |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275979098 PECOS PAC ID: 6800029794 Enrollment ID: I20160524000530 |
Provider Name | Amanda B Nichols |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316383136 PECOS PAC ID: 7315170420 Enrollment ID: I20160827000130 |
Provider Name | Amy C Jochims |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013328483 PECOS PAC ID: 8820218985 Enrollment ID: I20160920001478 |
Provider Name | Allison J Post |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801232624 PECOS PAC ID: 7618109174 Enrollment ID: I20161201001716 |
Provider Name | Lynn Bellmore |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053630913 PECOS PAC ID: 6608908413 Enrollment ID: I20170201002536 |
Provider Name | Joshua Lee Fischer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437442035 PECOS PAC ID: 0345467072 Enrollment ID: I20170418000521 |
Provider Name | Elizabeth J Little |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952827974 PECOS PAC ID: 4385901842 Enrollment ID: I20171208000874 |
Provider Name | Jessica Scott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942727888 PECOS PAC ID: 3173883741 Enrollment ID: I20180131001530 |
Provider Name | Brenda R Campos-spitze |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982015350 PECOS PAC ID: 3072734797 Enrollment ID: I20180628000767 |
Provider Name | Michael J.l. Bradfield |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588044093 PECOS PAC ID: 0840508370 Enrollment ID: I20181004000820 |
Provider Name | Alexandra Lessem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447735634 PECOS PAC ID: 5092059154 Enrollment ID: I20181130002226 |
Provider Name | David Mcclellan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154333847 PECOS PAC ID: 2668436056 Enrollment ID: I20190702002533 |
Provider Name | Utsav Goel |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1326426628 PECOS PAC ID: 4082926407 Enrollment ID: I20191011000533 |
Provider Name | Michael Renecle |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902393721 PECOS PAC ID: 5890040877 Enrollment ID: I20191227002053 |
Provider Name | Briana Rose Money |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740716372 PECOS PAC ID: 0840557922 Enrollment ID: I20200107001302 |
Provider Name | Christine Litton Baron |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952931123 PECOS PAC ID: 5698102051 Enrollment ID: I20200224002422 |
Provider Name | Michele Alba |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184006397 PECOS PAC ID: 1557626298 Enrollment ID: I20200730000467 |
Provider Name | Laura Luehr |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1922214824 PECOS PAC ID: 2860672789 Enrollment ID: I20201215003419 |
Provider Name | Alba Cristina Riley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730714056 PECOS PAC ID: 6305259144 Enrollment ID: I20210115000840 |
Provider Name | Teuta N Shemshedini |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1760774178 PECOS PAC ID: 9133413727 Enrollment ID: I20210316002578 |
Provider Name | Magdalena Reinsvold |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851821151 PECOS PAC ID: 0446671036 Enrollment ID: I20210821000064 |
Provider Name | Kevin Fulford |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1063594612 PECOS PAC ID: 1355421173 Enrollment ID: I20210824001821 |
Provider Name | Caitlin Ann Wojciehoski |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1346696556 PECOS PAC ID: 1557786092 Enrollment ID: I20210825000666 |
Provider Name | Elissa Test Serapio |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1508209669 PECOS PAC ID: 1254623200 Enrollment ID: I20211112000125 |
Provider Name | Jayme Lee George |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366188096 PECOS PAC ID: 1557742277 Enrollment ID: I20220713000116 |
Provider Name | David Soll |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1083601199 PECOS PAC ID: 8628057114 Enrollment ID: I20230208002080 |
Provider Name | Glenn Maas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417393646 PECOS PAC ID: 1355649781 Enrollment ID: I20230526000523 |
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