NPIMap

Organization Active NPI

Origin Healthcare PC

  • Hospitalist Physician
  • Fort Collins, CO
National Provider Identifier
1003583683
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
ORIGIN HEALTHCARE PC
Practice address
1001A E Harmony Rd Ste 308
Fort Collins, CO 80525-3354
Phone
(904) 746-4640
NPI assigned
Aug 23, 2021
Organization subpart
Yes
Parent organization
ORIGIN HEALTHCARE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christine M. Lum LungNPI 1821068727
Title
Owner
Phone
(888) 777-2718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

1001A E Harmony Rd Ste 308
Fort Collins, CO 80525-3354

Mailing address

1001A E Harmony Rd Ste 308
Fort Collins, CO 80525-3354
Phone (904) 746-4640

Other names 1

  • Origin Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Origin Healthcare PC2 organizations share this tax ID, including this one
Part of
Origin Healthcare PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22898/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1003583683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001A E HARMONY RD STE 308",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253354",
            "telephone_number": "904-746-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001A E HARMONY RD STE 308",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253354",
            "telephone_number": "904-746-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN HEALTHCARE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORIGIN HEALTHCARE, PC",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "LUM LUNG",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-777-2718"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Origin Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.