Longs Peak Pain Management, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

LONGS PEAK PAIN MANAGEMENT, LLC

Practice address

5285 McWhinney Blvd
Suite 145
Loveland, CO 80538-8863

Phone

(970) 290-5056

NPI assigned

Oct 25, 2011

Organization subpart

No

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

Authorized official

Name

E. Jeffrey Donner

Title

Manager

Phone

(970) 290-5056

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1407132244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5285 MCWHINNEY BLVD",
            "address_2": "SUITE 145",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5285 MCWHINNEY BLVD",
            "address_2": "SUITE 145",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388863",
            "telephone_number": "970-290-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGS PEAK PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "DONNER",
        "authorized_official_first_name": "E. JEFFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-290-5056"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lombard
• Daniel Long
• Deanna Long, PA-C
• Matthew W Long, LCSW
• Paige Haley Longberg
• Shari Elaine Lopez Ritchie, PA-C
• Jason O Lopez
• William Lopez Jr., M.D.
• Lori M. Jimison, DDS, PC
• Mark Anthon Lott, PH.D.

• Orthopaedic Surgery Physician in Loveland, CO
• Providers in Loveland, CO by specialty
• Orthopaedic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.