Organization Active NPI

Fort Collins Family Physicians Professional LLC

  • Family Medicine Physician
  • Ft Collins, CO
National Provider Identifier
1548352149
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FORT COLLINS FAMILY PHYSICIANS PROFESSIONAL LLC
Practice address
2121 E Harmony Rd
Ste 370
Ft Collins, CO 80528-3404
Phone
(970) 221-2290
Fax
(970) 295-0036
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. Monica T Serrano-Toy, MD
Title
Partner
Phone
(970) 221-2290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2121 E Harmony Rd
Ste 370
Ft Collins, CO 80528-3404

Mailing address

2121 E Harmony Rd
Ste 370
Ft Collins, CO 80528-3404
Phone (970) 221-2290

Other identifiers 1

IdentifierTypeStateIssuer
04118048MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1548352149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD",
            "address_2": "STE 370",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "805283404",
            "telephone_number": "970-221-2290",
            "fax_number": "970-295-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD",
            "address_2": "STE 370",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "805283404",
            "telephone_number": "970-221-2290",
            "fax_number": "970-295-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT COLLINS FAMILY PHYSICIANS PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "SERRANO-TOY",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "970-221-2290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04118048",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.