Greeley Medical Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GREELEY MEDICAL CLINIC

Practice address

1900 16TH St
Greeley, CO 80631-5114

Phone

(970) 353-1551

NPI assigned

Dec 8, 2005

Last updated

Oct 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Stone

Title

Credentialing

Phone

(970) 350-2416

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Robert L Cash, MD

  • Internal Medicine Physician
  • Greeley, CO
  • NPI 1285611152
  NPD (past)
• Jeffrey Elam Peterson, MD

  • Family Medicine Physician
  • Greeley, CO
  • NPI 1477528230
  NPD (past)
• David S Kang, M.D.

  • Family Medicine Physician
  • Middletown, NY
  • NPI 1225097793
  NPD (past)

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1336124700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315114",
            "telephone_number": "970-353-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315114",
            "telephone_number": "970-353-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREELEY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "970-350-2416"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04560082",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greeley Eye Doctors
• Greeley Family Counseling
• Greeley Family Vision
• Greeley Hearing Centers Inc
• Greeley Internal Medicine & Nephrology
• Greeley Medical Clinic
• Greeley Medical Clinic PC
• Greeley Memory Care LLC
• Greeley Modern Dentistry, LLP (Greeley Modern Dentistry)
• Greeley Orthodontic Center

• General Practice Physician in Greeley, CO
• Providers in Greeley, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.