NPIMap

Organization Active NPI

Integrated Medical Consultants

  • Pain Medicine (Anesthesiology) Physician
  • Buena Vista, CO
National Provider Identifier
1396129334
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
INTEGRATED MEDICAL CONSULTANTS
Practice address
28374 County Road
#317
Buena Vista, CO 81211-9158
Phone
(303) 444-4141
Fax
(877) 535-9359
NPI assigned
Jul 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Authorized official

Name
David Feeback
Title
Practice Administrator
Phone
(970) 221-9451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

28374 County Road
#317
Buena Vista, CO 81211-9158

Mailing address

3810 Grant Ave
Loveland, CO 80538-8412
Phone (303) 444-4141

Other names 1

  • COLORADO CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colorado Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1396129334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 GRANT AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388412",
            "telephone_number": "303-444-4141",
            "fax_number": "877-535-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28374 COUNTY ROAD",
            "address_2": "#317",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812119158",
            "telephone_number": "303-444-4141",
            "fax_number": "877-535-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "FEEBACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "970-221-9451"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLORADO CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Vista, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.