Medical Acupuncture of Northern Colorado, Professional LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MEDICAL ACUPUNCTURE OF NORTHERN COLORADO, PROFESSIONAL LLC

Doing business as

Medical Associates of Northern Colorado

Practice address

1217 Riverside Ave
Fort Collins, CO 80524-3218

Phone

(970) 482-7800

Fax

(970) 482-7802

NPI assigned

Jan 13, 2006

Organization subpart

No

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

Authorized official

Name

Michael Towbin, M.D.

Title

Owner

Phone

(970) 482-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medical Associates of Northern Colorado Doing business as

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1164401451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 RIVERSIDE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243218",
            "telephone_number": "970-482-7800",
            "fax_number": "970-482-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 RIVERSIDE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243218",
            "telephone_number": "970-482-7800",
            "fax_number": "970-482-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ACUPUNCTURE OF NORTHERN COLORADO, PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "TOWBIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-482-7800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47329866",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Associates of Northern Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diana C Medgyesy, MD
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• Amber Medina
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• Leonard B Medoff, PHD
• Medphone RX LLC

• Primary Care Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.