NPIMap

Organization Active NPI

Orthopedic Pain Center

Doing business as Orrie G Clemens MD

  • Non-Pharmacy Dispensing Site
  • Fort Collins, CO
National Provider Identifier
1336184548
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
17195 Issued in CO
Legal business name
ORTHOPEDIC PAIN CENTER
Doing business as
Orrie G Clemens MD
Practice address
2001 S Shields St
BLDG L
Fort Collins, CO 80526-1827
Phone
(970) 669-8881
Fax
(970) 669-4200
NPI assigned
Jun 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Heather Westlund
Title
Practice MGR
Phone
(970) 669-8881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 17195 CO Primary

Addresses

Primary practice location

2001 S Shields St
BLDG L
Fort Collins, CO 80526-1827

Mailing address

2001 S Shields St
BLDG L
Fort Collins, CO 80526-1827

Other identifiers 2

IdentifierTypeStateIssuer
01171958MedicaidCO
0619936OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • ORRIE G CLEMENS MD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rocky Mountain Associat2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336184548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST",
            "address_2": "BLDG L",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST",
            "address_2": "BLDG L",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261827",
            "telephone_number": "970-669-8881",
            "fax_number": "970-669-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTLUND",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRACTICE MGR",
        "authorized_official_telephone_number": "970-669-8881"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CO",
            "license": "17195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01171958",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0619936",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORRIE G CLEMENS MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.