Fort Collins Consultants in Pathology PC

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

Legal business name

FORT COLLINS CONSULTANTS IN PATHOLOGY PC

Practice address

1024 Lemay Ave
Fort Collins, CO 80524-3929

Phone

(970) 495-8740

Fax

(970) 495-7605

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Christopher Staszak, MD

Title

President

Phone

(970) 495-8740

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1265474506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243929",
            "telephone_number": "970-495-8740",
            "fax_number": "970-495-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243929",
            "telephone_number": "970-495-8740",
            "fax_number": "970-495-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT COLLINS CONSULTANTS IN PATHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "STASZAK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-495-8740",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CT0131",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04110086",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Farley Forrest, RN
• Kathryn Forrest, LPC, CAC II, MS
• Christine Ann Forseth
• Steven Forstner, LPC
• Fort Collins Community Clinic LLC
• Fort Collins Counseling Services PLLC
• Fort Collins Dental Group, LLP
• Fort Collins Dentist Family & Implant Dentistry PLLC
• Fort Collins Family Acupuncture
• Fort Collins Family Care

• Anatomic Pathology Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Anatomic Pathology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.