Adamson Medical Corporation PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ADAMSON MEDICAL CORPORATION PC

Doing business as

Adamson Family Care

Practice address

4401 Union St
Johnstown, CO 80534-2800

Phone

(303) 761-1215

Fax

(303) 762-1701

NPI assigned

Feb 6, 2007

Last updated

Apr 6, 2017By 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

Carrie Campbell-Broughton, MDNPI 1295737526

Title

Owner

Phone

(303) 761-1215

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adamson Family Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 5

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.

• Carrie Lynn Campbell Broughton, MD

  • Internal Medicine Physician
  • Fort Collins, CO
  • NPI 1295737526
  Medicare reassignment NPD Authorized official
• Janae Ross, PA C

  • Physician Assistant
  • Boulder, CO
  • NPI 1093918377
  NPD
• Kathryn A Cerkoney, FNP

  • General Practice Registered Nurse
  • Fort Collins, CO
  • NPI 1669462248
  NPD (past)
• Theran Bradford Adamson, MD

  • Addiction Medicine (Family Medicine) Physician
  • Des Moines, IA
  • NPI 1386646610
  NPD (past)
• Gale Segarra Roberts, MD

  • Anesthesiology Physician
  • Mount Kisco, NY
  • NPI 1073522009
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1356480982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W LEHIGH AVE #1979",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801501979",
            "telephone_number": "303-761-1215",
            "fax_number": "303-762-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 UNION ST",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805342800",
            "telephone_number": "303-761-1215",
            "fax_number": "303-762-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMSON MEDICAL CORPORATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL-BROUGHTON",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-761-1215",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44356749",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adamson Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Johnstown, CO
• Providers in Johnstown, CO by specialty
• Multi-Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.