Front Range Dermatology Associates
Clinic/Center, Medical Specialty in Fort Collins, CO. Organization (NPI-2).
Details
- NPI
- 1164063624
- Entity type
- Organization (NPI-2)
- Legal business name
- Front Range Dermatology Associates
- Organization subpart
- No
- Enumeration date
- Oct 4, 2019
- Certification date
- Jun 30, 2020
- Last updated
- Jun 30, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Practice location
4038 S Timberline Rd Unit 100Fort Collins, CO 80525-6004
Phone 970-673-1155 · Fax 970-673-4747
Mailing address
Po Box 69Timnath, CO 80547-0069
Phone 970-301-0130
Other practice locations
Greeley, CO 80634-9640
Phone 970-301-0130 · Fax 970-673-4747
Loveland, CO 80538-2702
Phone 970-673-1155 · Fax 970-673-4747
Fort Morgan, CO 80701-2130
Phone 970-673-1155 · Fax 970-673-4747
Authorized official
Michele Blum
Practice Manager
9706731155
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Medical Specialty Clinic/Center providers in Fort Collins · All 8,883 providers in Fort Collins
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