Active NPI
Amy Marie Lichon, D.O.
- Anesthesiology Physician
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- DR.0038886
- Practice address
- 1236 E Elizabeth St
Suite 1
Fort Collins, CO 80524-4000 - Phone
- (970) 224-2985
- Fax
- (970) 472-9381
- NPI assigned
- Oct 6, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | DR.0038886 | CO | Primary |
Addresses
Primary practice location
1236 E Elizabeth St
Suite 1
Fort Collins, CO 80524-4000
Mailing address
1236 E Elizabeth St
Suite 1
Fort Collins, CO 80524-4000
Phone (970) 224-2985
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115352800 | Medicaid | WY | |
| 02330237 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Michigan State University College of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1725 E Prospect Rd
Fort Collins, CO 80525-1307
Phone (970) 221-2222
214 E 23Rd St
Cheyenne, WY 82001-3748
Phone (307) 634-2273
Hospital & facility affiliations
- Cheyenne Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain State Anesthesia Providers | Anesthesiology | Current | Accepting new patients |
| Eye Center of Northern Colorado, P.C. | Current | Accepting new patients | |
| Northern Colorado Anesthesia Professionals PLLC | Anesthesiology | Current | Accepting new patients |
| Rocky Mountain State Anesthesia Providers | Anesthesiology | Current | Accepting new patients |
| Anesthesiology Consultants of Cheyenne LLC | Anesthesiology | Current | Accepting new patients |
| Colorado Anesthesia Consultants, P.C. | Anesthesiology | Past | Accepting new patients |
| West Central Anesthesiology Group LTD | Anesthesiology | Past | Accepting new patients |
Locations
1236 E Elizabeth St
Ste 1
Fort Collins, CO 80524
Phone (970) 484-6256
1725 E Prospect Rd
Fort Collins, CO 80525
Phone (970) 221-2222
4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600
5890 W 13th St
Ste 102
Greeley, CO 80634
Phone (970) 348-0090
5890 W 13th St
Greeley, CO 80634
Phone (970) 356-4567
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425
2555 E 13th St
Ste 225
Loveland, CO 80537
Phone (970) 221-2222
2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071
214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221
324 E 23Rd St
Cheyenne, WY 82001
Phone (307) 634-2273
Interoperability endpoints
- amy.lichon.p1@direct.eyecenternoco.nextgenshare.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Fort Collins, CO
- NPI 1073559605
-
- Anesthesiology Physician
- Cheyenne, WY
- NPI 1811940828
-
- Anesthesiology Physician
- Fort Collins, CO
- NPI 1851389613
-
- Anesthesiology Physician
- Greeley, CO
- NPI 1730692054
-
- Anesthesiology Physician
- Loveland, CO
- NPI 1710510417
-
- Anesthesiology Physician
- Denver, CO
- NPI 1457359820
-
- Anesthesiology Physician
- Rosemont, IL
- NPI 1396785648
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cheyenne, WY
- NPI 1285621839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370563200000",
"number": "1386632198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 E ELIZABETH ST",
"address_2": "SUITE 1",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244000",
"telephone_number": "970-224-2985",
"fax_number": "970-472-9381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 E ELIZABETH ST",
"address_2": "SUITE 1",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244000",
"telephone_number": "970-224-2985",
"fax_number": "970-472-9381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICHON",
"first_name": "AMY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2013-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "DR.0038886",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115352800",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02330237",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
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 Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.