Organization Active NPI

Front Range Plastic & Reconstructive Surgery PC

  • Plastic Surgery Physician
  • Loveland, CO
National Provider Identifier
1083852123
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
47989 Issued in CO
Legal business name
FRONT RANGE PLASTIC & RECONSTRUCTIVE SURGERY PC
Practice address
2500 Rocky Mountain Ave
Ste 130
Loveland, CO 80538-9004
Phone
(303) 872-8250
Fax
(303) 558-4152
NPI assigned
Jan 28, 2009
Last updated
Dec 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Dr. Warren Schutte, MDNPI 1437370756
Title
President
Phone
(303) 872-8250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 47989 CO Primary

Addresses

Primary practice location

2500 Rocky Mountain Ave
Ste 130
Loveland, CO 80538-9004

Mailing address

1175 58TH Ave
Ste 202
Greeley, CO 80634-4808
Phone (970) 495-0300

Other identifiers 1

IdentifierTypeStateIssuer
57070083MedicaidCO

National Provider Directory

National Provider Directory

Locations

2126 Milestone Dr
Fort Collins, CO 80525
Phone (303) 872-8250

1992 Rocky Mountain Ave
Loveland, CO 80538

2500 Rocky Mountain Ave
#130
Loveland, CO 80538

2500 Rocky Mountain Ave
#2130
Loveland, CO 80538

2500 Rocky Mountain Ave
Ste 130
Loveland, CO 80538
Phone (303) 872-8250

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1083852123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 58TH AVE",
            "address_2": "STE 202",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344808",
            "telephone_number": "970-495-0300",
            "fax_number": "970-224-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ROCKY MOUNTAIN AVE",
            "address_2": "STE 130",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389004",
            "telephone_number": "303-872-8250",
            "fax_number": "303-558-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE PLASTIC & RECONSTRUCTIVE SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "SCHUTTE",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-872-8250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "47989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57070083",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.