Active NPI
John Allan Fritz, D.O.
- Family Medicine Physician
- Longmont, CO
National Provider Identifier
1487655478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20750
- Practice address
- 1551 Professional LN
Suite 135
Longmont, CO 80501-6972 - Phone
- (303) 776-7582
- Fax
- (303) 776-7583
- NPI assigned
- Aug 2, 2005
- Last updated
- Nov 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20750 | CO | Primary |
Addresses
Primary practice location
1551 Professional LN
Suite 135
Longmont, CO 80501-6972
Mailing address
1551 Professional LN
Suite 135
Longmont, CO 80501-6972
Phone (303) 776-7582
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01207505 | Medicaid | CO | |
| FR03952 | Other | CO | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1487655478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 PROFESSIONAL LN",
"address_2": "SUITE 135",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805016972",
"telephone_number": "303-776-7582",
"fax_number": "303-776-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 PROFESSIONAL LN",
"address_2": "SUITE 135",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805016972",
"telephone_number": "303-776-7582",
"fax_number": "303-776-7583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRITZ",
"first_name": "JOHN",
"middle_name": "ALLAN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "20750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01207505",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "FR03952",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
- James C Freudenburg, MD
- Melissa Frick
- Carla Friedli, PH.D. PSYCHOLOGY
- Fritz Wellness, Professional Company (Fritz Wellness Center)
- Derek Thomas Fritz, DC
- Froc, PC (Front Range Orthopedic Center)
- Front Range Clinic Inc.
- Front Range Eye Physicians PC
- Front Range Gastroenterology Associates
- Front Range Hippotherapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.