Front Range Dermatology Associates

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

FRONT RANGE DERMATOLOGY ASSOCIATES

Practice address

4038 S Timberline Rd Unit 100
Fort Collins, CO 80525-6004

Phone

(970) 673-1155

Fax

(970) 673-4747

NPI assigned

Oct 4, 2019

Organization subpart

No

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

Authorized official

Name

Michele Blum

Title

Practice Manager

Phone

(970) 673-1155

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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

• Colleen Ines Andrijiw, PA-C

  • Physician Assistant
  • Greeley, CO
  • NPI 1104916923
  NPD
• Nicole Leigh Bielecki, MSPAS, PA-C

  • Physician Assistant
  • Greeley, CO
  • NPI 1619506060
  NPD
• Sarah Elizabeth Hoch, PA-C

  • Medical Physician Assistant
  • Fort Collins, CO
  • NPI 1811271323
  NPD
• Aaron Zachary Hoover, MD

  • Dermatopathology Physician
  • Greeley, CO
  • NPI 1609883081
  NPD
• Allie Kay Preston, MD

  • Dermatology Physician
  • Fort Collins, CO
  • NPI 1306309364
  NPD
• Laurel Reinhart Stearns, D.O.

  • Dermatology Physician
  • Avon, CO
  • NPI 1356491393
  NPD
• Joseph Lee Wilde, M.D.

  • MOHS-Micrographic Surgery Physician
  • Fort Collins, CO
  • NPI 1972521581
  NPD

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1164063624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805470069",
            "telephone_number": "970-301-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 S TIMBERLINE RD UNIT 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256004",
            "telephone_number": "970-673-1155",
            "fax_number": "970-673-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2923 Ginnala Dr",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805382702",
            "country_code": "US",
            "telephone_number": "970-673-1155",
            "fax_number": "970-673-4747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Morgan",
            "state": "CO",
            "postal_code": "807012130",
            "country_code": "US",
            "telephone_number": "970-673-1155",
            "fax_number": "970-673-4747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6801 W 20th St Unit 208",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806349640",
            "country_code": "US",
            "telephone_number": "970-301-0130",
            "fax_number": "970-673-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRONT RANGE DERMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "970-673-1155"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Front Range Center for Brain & Spine Surgery, PC.
• Front Range Clinic Inc.
• Front Range Clinic Inc.
• Front Range Clinic Inc.
• Front Range Dental Center, PLLC
• Front Range Geriatric Medicine LLC
• Front Range Health & Rehabilitation, LLC
• Front Range Pain Medicine
• Front Range Pain Medicine LLC
• Front Range Radiology Prof, LLC

• Medical Specialty Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Medical Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.