Front Range Clinic Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0054001 Issued in CO

Legal business name

FRONT RANGE CLINIC INC.

Practice address

1040 E Elizabeth St
Suite C
Fort Collins, CO 80524-3951

Phone

(970) 493-9193

NPI assigned

Oct 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Clark McCoy, MD

Title

President

Phone

(352) 214-7180

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1598135451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 E ELIZABETH ST",
            "address_2": "SUITE C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243951",
            "telephone_number": "970-493-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 E ELIZABETH ST",
            "address_2": "SUITE C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243951",
            "telephone_number": "970-493-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-04",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-214-7180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0054001",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CO",
            "license": "0054001",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "CO",
            "license": "0054001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stace Ann Fritzler, MD
• Nicole Sophia Froman, LCSW
• Front Range Cancer Specialists PC
• Front Range Center for Brain & Spine Surgery, PC.
• Front Range Clinic Inc.
• Front Range Clinic Inc.
• Front Range Dental Center, PLLC
• Front Range Dermatology Associates
• Front Range Geriatric Medicine LLC
• Front Range Health & Rehabilitation, LLC

• Family Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.