Organization Active NPI

Frontier Neurology and Neuromuscular Clinic PLLC

  • Neurology Physician
  • Wheat Ridge, CO
National Provider Identifier
1225360902
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
45684 Issued in CO
Legal business name
FRONTIER NEUROLOGY AND NEUROMUSCULAR CLINIC PLLC
Practice address
4251 Kipling St Unit 220
Wheat Ridge, CO 80033-2897
Phone
(303) 424-0559
Fax
(303) 424-0205
NPI assigned
Feb 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Dr. Katalin J Pocsine, M.D.NPI 1326138801
Title
Owner
Phone
(303) 424-0559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0008X 45684 CO
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 45684 CO Primary
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X 45684 CO

Addresses

Primary practice location

4251 Kipling St Unit 220
Wheat Ridge, CO 80033-2897

Mailing address

4251 Kipling St Unit 220
Wheat Ridge, CO 80033-2897
Phone (303) 424-0559

Other identifiers 1

IdentifierTypeStateIssuer
58439773MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100514000777 CO Part B Supplier - Clinic/Group Practice 7012045883 Receives reassigned benefits from 2 practitioners
Practice locations: Wheat Ridge, CO

National Provider Directory

National Provider Directory

Locations

5730 Ward Rd
Ste 206
Arvada, CO 80002
Phone (303) 424-0559

3464 S Willow St
Ste 707
Denver, CO 80231

4251 Kipling St
Unit 220
Wheat Ridge, CO 80033
Phone (303) 423-8334

4251 Kipling St
Wheat Ridge, CO 80033
Phone (720) 443-1181

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1225360902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST UNIT 220",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332897",
            "telephone_number": "303-424-0559",
            "fax_number": "303-424-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST UNIT 220",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332897",
            "telephone_number": "303-424-0559",
            "fax_number": "303-424-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER NEUROLOGY AND NEUROMUSCULAR CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "POCSINE",
        "authorized_official_first_name": "KATALIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-424-0559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "CO",
            "license": "45684",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "45684",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CO",
            "license": "45684",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58439773",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.