Fcid Colorado, Inc.

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

FCID COLORADO, INC.

Practice address

485 Lindbergh Drive
Gypsum, CO 81631

Phone

(970) 777-2100

NPI assigned

Mar 11, 2010

Organization subpart

Yes

Parent organization

FCID HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Donald Bittar

Title

Secretary

Phone

(321) 725-0090

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jayme Leigh Bartz, PT, DPT

  • Physical Therapist
  • West Melbourne, FL
  • NPI 1598363376
  NPD (past)

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1609199140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S HARBOR CITY BLVD",
            "address_2": "SUITE 250",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011938",
            "telephone_number": "321-725-0090",
            "fax_number": "321-308-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 LINDBERGH DRIVE",
            "city": "GYPSUM",
            "state": "CO",
            "postal_code": "81631",
            "telephone_number": "970-777-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCID COLORADO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FCID HOLDINGS, INC.",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "BITTAR",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "321-725-0090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Valley Mental Health
• Eagle Valley Physical Therapy PLLC
• Ellington Eyecare PLLC
• Sabra Epp, PT, DPT
• Mary B Ezequelle, LCSW, PC
• John W Geddes, RPH
• Katherine Marie Glass
• Gretchen M Sibley, DO PA
• Stephanie Hands, CNS
• Holly Hanson

• All providers in Gypsum, CO
• Magnetic Resonance Imaging (MRI) Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.