Front Range ENT, PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

41311 Issued in CO

Legal business name

FRONT RANGE ENT, PC

Practice address

6500 29TH Street
Suite 106
Greeley, CO 80634-8386

Phone

(970) 330-5555

NPI assigned

Jan 20, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Lori L Malone

Title

Practice Administrator

Phone

(970) 584-1063

Specialties & licenses 1

Addresses

Practitioners 1

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

• Christopher Mark Eriksen, M.D.

  • Otolaryngology Physician
  • Fort Collins, CO
  • NPI 1144292673
  NPD

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1063659522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 29TH STREET",
            "address_2": "SUITE 106",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806348386",
            "telephone_number": "970-330-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 29TH STREET",
            "address_2": "SUITE 106",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806348386",
            "telephone_number": "970-330-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE ENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "970-584-1063",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "41311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Front Range Behavior
• Front Range Behavior
• Front Range Clinic Inc.
• Front Range Dermatology Associates
• Front Range Dermatology Associates Pathology Lab
• Front Range Neurology PC
• Front Range Pain Management, LLC
• Front Range Speech and Behavior
• Front Range Speech Therapy, LLC
• Front Range Therapists

• Otolaryngology Physician in Greeley, CO
• Providers in Greeley, CO by specialty
• Otolaryngology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.