NPIMap

Organization Active NPI

Big Thompson Medical Group Inc.

  • Obstetrics & Gynecology Physician
  • Loveland, CO
National Provider Identifier
1275823510
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BIG THOMPSON MEDICAL GROUP INC.
Practice address
1813 Cheyenne Ave
Loveland, CO 80538-4244
Phone
(970) 203-6801
Fax
(970) 203-6821
NPI assigned
Apr 7, 2011
Organization subpart
Yes
Parent organization
BIG THOMPSON MEDICAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Dennis E Dahlen
Title
Sr VP Finance
Phone
(602) 747-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1813 Cheyenne Ave
Loveland, CO 80538-4244

Mailing address

1627 E 18TH St
Loveland, CO 80538-4209
Phone (970) 663-0135

Other identifiers 1

IdentifierTypeStateIssuer
61238864MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Big Thompson Medical GR19 organizations share this tax ID, including this one
Part of
Big Thompson Medical GR

Other organizations with this tax ID 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 1

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": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1275823510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 E 18TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384209",
            "telephone_number": "970-663-0135",
            "fax_number": "970-461-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 CHEYENNE AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384244",
            "telephone_number": "970-203-6801",
            "fax_number": "970-203-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG THOMPSON MEDICAL GROUP INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIG THOMPSON MEDICAL GROUP, INC",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SR VP FINANCE",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61238864",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 27, 2011; 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.