Active NPI
Remote Health Access Inc
- Psychiatry Physician
- Fort Collins, CO
National Provider Identifier
1407293392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- REMOTE HEALTH ACCESS INC
- Practice address
- 4645 Ziegler Rd
Suite 101
Fort Collins, CO 80528-9600 - Phone
- (970) 286-0301
- NPI assigned
- May 31, 2013
- Last updated
- Sep 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Ludwin
- Title
- President
- Phone
- (970) 286-0301
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | ||
| Psychologist | 103T00000X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
4645 Ziegler Rd
Suite 101
Fort Collins, CO 80528-9600
Mailing address
4645 Ziegler Rd
Suite 101
Fort Collins, CO 80528-9600
Phone (970) 286-0301
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DU2062 | Other | CO | RR MEDICARE |
| 70859809 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
1000 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 224-7025
4645 Ziegler Rd
Unit 101
Fort Collins, CO 80528
821 Duffield Ct
Loveland, CO 80537
Phone (303) 669-0345
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Windsor, CO
- NPI 1215017264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411084800000",
"number": "1407293392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4645 ZIEGLER RD",
"address_2": "SUITE 101",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805289600",
"telephone_number": "970-286-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4645 ZIEGLER RD",
"address_2": "SUITE 101",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805289600",
"telephone_number": "970-286-0301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REMOTE HEALTH ACCESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-31",
"last_updated": "2014-09-19",
"status": "A",
"authorized_official_last_name": "LUDWIN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "970-286-0301",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DU2062",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70859809",
"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 Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.