Individual provider Active NPI

Roger C Ashmore, M.D.

  • Interventional Cardiology Physician
  • Fort Collins, CO
National Provider Identifier
1184620635
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
28884 Issued in CO
Practice address
2121 E Harmony Rd
Unit 100
Fort Collins, CO 80528-3401
Phone
(970) 221-1000
Fax
(970) 297-6844
NPI assigned
Jun 21, 2005
Last updated
Jul 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 28884 CO
Cardiovascular Disease Physician 207RC0000X 19989 NE
Interventional Cardiology Physician 207RI0011X 28884 CO Primary

Addresses

Primary practice location

2121 E Harmony Rd
Unit 100
Fort Collins, CO 80528-3401

Mailing address

2121 E Harmony Rd
Unit 100
Fort Collins, CO 80528-3400
Phone (970) 221-1000

Other identifiers 3

IdentifierTypeStateIssuer
111651700MedicaidWY
P00971194OtherCOMCRRR
01288844MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091105000198 NE Practitioner - Cardiovascular Disease (Cardiology) 9436049004 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28884COMDCardiovascular Disease Physician
19989NEMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Physicians Clinic CurrentSince Sep 1, 2011 Accepting new patients
Poudre Valley Health Care Inc. CurrentSince Nov 1, 2002 Accepting new patients
Poudre Valley Health Care Inc CurrentSince Nov 1, 2002 Accepting new patients
Yampa Valley Medical Center Past Accepting new patients
Medical Center of the Rockies Past Accepting new patients

Locations

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

1025 Pennock Pl
Fort Collins, CO 80524
Phone (970) 495-8800

2121 E Harmony Rd
Unit 100
Fort Collins, CO 80528
Phone (970) 663-3107

2315 E Harmony Rd
Ste 200
Fort Collins, CO 80528

2809 E Harmony Rd
Ste 200
Fort Collins, CO 80528
Phone (970) 297-6250

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

1313 S St
Bridgeport, NE 69336
Phone (308) 262-1616

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

645 Osage St
Sidney, NE 69162
Phone (308) 254-5825

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1184620635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD",
            "address_2": "UNIT 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283400",
            "telephone_number": "970-221-1000",
            "fax_number": "970-297-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD",
            "address_2": "UNIT 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283401",
            "telephone_number": "970-221-1000",
            "fax_number": "970-297-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHMORE",
        "first_name": "ROGER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "28884",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "19989",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CO",
            "license": "28884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111651700",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRRR",
            "identifier": "P00971194",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01288844",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.