Intermountain Anesthesia Professional Consultants, LLP

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

INTERMOUNTAIN ANESTHESIA PROFESSIONAL CONSULTANTS, LLP

Practice address

1175 58TH Ave
Suite 101
Greeley, CO 80634

Phone

(970) 495-0555

Fax

(970) 224-9624

NPI assigned

Apr 6, 2021

Last updated

Apr 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jan Gillespie, MD

Title

Owner

Phone

(970) 495-0300

Specialties & licenses 1

Addresses

Locations

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.

• Jan Gillespie-Wagner, MD

  • Interventional Pain Medicine Physician
  • Greeley, CO
  • NPI 1043293921
  NPD (past)

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1497334478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 58TH AVE",
            "address_2": "SUITE 202",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "970-495-0300",
            "fax_number": "970-224-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 58TH AVE",
            "address_2": "SUITE 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "970-495-0555",
            "fax_number": "970-224-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN ANESTHESIA PROFESSIONAL CONSULTANTS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-495-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Dental Arts PLLC (Integrated Dental Arts)
• Integrated Medical Consultants (Colorado Clinic)
• Integrated Therapeutic Services, LLC
• Integration Mental Health LLC
• Interim Healthcare of Fort Collins, Inc. (Interim Healthcare of Greeley)
• Intermountain Anesthesia Professional Consultants, LLP (Northern Colorado Pain Management)
• Internal Medicine Consultants, PC
• Liam Ireland
• Alexandra Shay Irish
• Margaret Ann Irish, DO

• Gynecology Physician in Greeley, CO
• Providers in Greeley, CO by specialty
• Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.