NPIMap

Organization Active NPI

Integrated Medical Consultants

Doing business as Colorado Pain Clinic

  • Specialist
  • Loveland, CO
National Provider Identifier
1164432241
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INTEGRATED MEDICAL CONSULTANTS
Doing business as
Colorado Pain Clinic
Practice address
3810 N Grant Ave
Loveland, CO 80538
Phone
(970) 221-9451
Fax
(877) 535-9359
NPI assigned
Aug 9, 2006
Last updated
Apr 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
David Feeback, Mba, MBA
Title
Cfo
Phone
(970) 221-9451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3810 N Grant Ave
Loveland, CO 80538

Mailing address

PO Box 271160
Ft. Collins, CO 80527
Phone (970) 221-9451

Other names 1

  • Colorado Pain Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colorado Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1136 E Stuart St
Bldg 4
Fort Collins, CO 80525
Phone (970) 232-9339

1136 E Stuart St
Ste 104
Fort Collins, CO 80525

Practitioners & affiliated clinicians

Practitioners 7

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1164432241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271160",
            "city": "FT. COLLINS",
            "state": "CO",
            "postal_code": "80527",
            "telephone_number": "970-221-9451",
            "fax_number": "877-535-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 N GRANT AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80538",
            "telephone_number": "970-221-9451",
            "fax_number": "877-535-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "FEEBACK, MBA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "970-221-9451",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 2, 2015; 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.