Organization Active NPI

Front Range Neurology PC

  • Neurology Physician
  • Greeley, CO
National Provider Identifier
1417027970
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
FRONT RANGE NEUROLOGY PC
Practice address
5890 W 13TH St
Ste 112
Greeley, CO 80634-4816
Phone
(970) 353-2255
Fax
(970) 353-2579
NPI assigned
Nov 9, 2006
Last updated
Mar 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Dr. Celina F Tolge, MDNPI 1134124134
Title
President
Phone
(970) 353-2255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

5890 W 13TH St
Ste 112
Greeley, CO 80634-4816

Mailing address

5890 W 13TH St
Ste 112
Greeley, CO 80634-4816
Phone (970) 353-2255

Other identifiers 1

IdentifierTypeStateIssuer
14256061MedicaidCO

National Provider Directory

National Provider Directory

Locations

5890 W 13th St
Ste 112
Greeley, CO 80634
Phone (970) 353-2255

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1417027970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 W 13TH ST",
            "address_2": "STE 112",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344816",
            "telephone_number": "970-353-2255",
            "fax_number": "970-353-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 W 13TH ST",
            "address_2": "STE 112",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344816",
            "telephone_number": "970-353-2255",
            "fax_number": "970-353-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "TOLGE",
        "authorized_official_first_name": "CELINA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-353-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14256061",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.