Organization Active NPI

Pain Center of the Rockies

  • Pain Medicine Physician
  • Loveland, CO
National Provider Identifier
1356493548
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PAIN CENTER OF THE ROCKIES
Doing business as
Orthopedic Pain Center
Practice address
3810 N Grant Ave
Loveland, CO 80538
Phone
(970) 669-8881
Fax
(970) 669-4200
NPI assigned
Jan 17, 2007
Organization subpart
Yes
Parent organization
ROCKY MOUNTAIN ASSOCIATES IN ORTHOPEDIC MEDICINE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Ms. Rebecca N Fellers
Title
Office Manager
Phone
(970) 221-1919

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

3810 N Grant Ave
Loveland, CO 80538

Mailing address

2001 S Shields BLDG L
Fort Collins, CO 80526
Phone (970) 221-1919

Other identifiers 1

IdentifierTypeStateIssuer
01171958MedicaidCO

Other names 1

  • Orthopedic Pain Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rocky MNTN Assoc in Ortho2 organizations share this tax ID, including this one
Part of
Rocky MNTN Assoc in Ortho

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1356493548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS BLDG L",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80526",
            "telephone_number": "970-221-1919",
            "fax_number": "970-493-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 N GRANT AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80538",
            "telephone_number": "970-669-8881",
            "fax_number": "970-669-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CENTER OF THE ROCKIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCKY MOUNTAIN ASSOCIATES IN ORTHOPEDIC MEDICINE, P.C.",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "FELLERS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-221-1919",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01171958",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 15, 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.