Active NPI
Nephrology Clinic PC
Doing business as The Nephrology Clinic
- Nephrology Physician
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- NEPHROLOGY CLINIC PC
- Doing business as
- The Nephrology Clinic
- Practice address
- 3351 Eastbrook Dr Ste 100
Fort Collins, CO 80525-5744 - Phone
- (970) 493-7733
- NPI assigned
- Feb 12, 2020
- Last updated
- Mar 21, 2023
- Organization subpart
- Yes
- Parent organization
- NEPHROLOGY CLINIC PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tobey J. Mikula
- Title
- Practice Administrator
- Phone
- (970) 493-7733
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
3351 Eastbrook Dr Ste 100
Fort Collins, CO 80525-5744
Mailing address
3351 Eastbrook Dr Ste 100
Fort Collins, CO 80525-5744
Phone (970) 493-7733
Other practice location 1
2988 Ginnala Dr
Loveland, CO 80538-2701
Phone (970) 493-7733
Other practice location 2
620 Iris Dr
Sterling, CO 80751-4716
Phone (970) 493-7733
Other practice location 3
8229 W 20th St
Greeley, CO 80634-3040
Phone (970) 493-7733
Other practice location 4
1000 Lincoln St
Fort Morgan, CO 80701-3290
Phone (970) 493-7733
Other names 1
- The Nephrology Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Richard E Simmons MD
- Part of
- Richard E Simmons MD
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba The Nephrology Clinic
- Medical Specialty Clinic/Center
- Loveland, CO
- NPI 1023640513
-
dba The Nephrology Clinic
- Medical Specialty Clinic/Center
- Sterling, CO
- NPI 1235761735
-
dba The Nephrology Clinic
- Medical Specialty Clinic/Center
- Greeley, CO
- NPI 1346872843
-
dba The Nephrology Clinic
- Medical Specialty Clinic/Center
- Fort Morgan, CO
- NPI 1497387997
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679356800000",
"number": "1467084939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3351 EASTBROOK DR STE 100",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255744",
"telephone_number": "970-493-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3351 EASTBROOK DR STE 100",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255744",
"telephone_number": "970-493-7733"
}
],
"practiceLocations": [
{
"address_1": "2988 Ginnala Dr",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805382701",
"country_code": "US",
"telephone_number": "970-493-7733",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 Iris Dr",
"address_purpose": "LOCATION",
"city": "Sterling",
"state": "CO",
"postal_code": "807514716",
"country_code": "US",
"telephone_number": "970-493-7733",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8229 W 20th St",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806343040",
"country_code": "US",
"telephone_number": "970-493-7733",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Lincoln St",
"address_purpose": "LOCATION",
"city": "Fort Morgan",
"state": "CO",
"postal_code": "807013290",
"country_code": "US",
"telephone_number": "970-493-7733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEPHROLOGY CLINIC PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEPHROLOGY CLINIC PC",
"enumeration_date": "2020-02-12",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A",
"authorized_official_last_name": "MIKULA",
"authorized_official_first_name": "TOBEY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "970-493-7733"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Nephrology Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Nephrology Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.