Individual provider Active NPI

Vincenzo Louis Piantanida, PA-C

  • Physician Assistant
  • Longmont, CO
National Provider Identifier
1609534098
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5868 Issued in SC
Practice address
1610 Dry Creek Dr
Longmont, CO 80503-6405
Phone
(303) 772-1600
Fax
(303) 772-9317
NPI assigned
Dec 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0008063 CO
Physician Assistant 363A00000X 5868 SC Primary
Surgical Physician Assistant 363AS0400X PA.0008063 CO

Addresses

Primary practice location

1610 Dry Creek Dr
Longmont, CO 80503-6405

Mailing address

2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-0112

Other practice location 1

2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-0112

Other practice location 2

1625 Hospital Dr Ste 350
MT Pleasant, SC 29464-3892
Phone (854) 429-4263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, SC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220628003172 TX Practitioner - Physician Assistant 4486033073 Reassigns benefits to 1 organization
I20230825003575 CO Practitioner - Physician Assistant 4486033073 Reassigns benefits to 2 organizations
I20251204002402 SC Practitioner - Physician Assistant 4486033073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLC 2,425 clinicians
Orthopaedic and Spine Center of the Rockies PC 145 clinicians
East Cooper Physician Group LLC 126 clinicians

Practice addresses (Care Compare)

1400 E Boulder
Suite 2410 Pre Procedure Memorial
Colorado Springs, CO 80909-5533
Phone (719) 365-6525

1400 E Boulder St
Colorado Springs, CO 80909-5533

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-0000

1750 E Ken Pratt Blvd
Longmont, CO 80504-5311
Phone (720) 718-7000

1950 Mountain View Ave
Longmont, CO 80501-3129
Phone (303) 651-5111

200 Exempla Cir
Lafayette, CO 80026-3370
Phone (303) 689-4000

2420 E Prospect Rd
Fort Collins MRI
Fort Collins, CO 80525-9718
Phone (970) 493-0567

2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-4010

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

880 Island Park Dr
Unit 230
Daniel Island, SC 29492-2902
Phone (843) 380-9330

Hospital & facility affiliations

  • Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116
  • Novant Health East Cooper Medical Center Hospital, Mount Pleasant, SC, CCN 420089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5868SCMDPhysician Assistant
PA.0008063COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Cooper Physician Group LLC CurrentSince Sep 20, 2025 Accepting new patients
East Cooper Physician Group LLC CurrentSince Sep 20, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jul 15, 2024 Accepting new patients
East Cooper Physician Group LLC Current Accepting new patients
Star Orthopedics and Sports Medicine PLLC CurrentSince Jun 6, 2022 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jul 15, 2024 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

175 S Union Blvd
Ste 310
Colorado Springs, CO 80910
Phone (719) 365-6363

880 Island Park Dr
Unit 230
Daniel Island, SC 29492
Phone (843) 380-9330

1625 Hospital Dr
Ste 350
Mt Pleasant, SC 29464
Phone (843) 856-3262

851 Leonard Fulghum Dr
Ste 101
Mt Pleasant, SC 29464
Phone (843) 884-2133

5550 Warren Pkwy
Ste 200
Frisco, TX 75034
Phone (469) 850-0680

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1609534098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259718",
            "telephone_number": "970-493-0112",
            "fax_number": "970-493-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 DRY CREEK DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036405",
            "telephone_number": "303-772-1600",
            "fax_number": "303-772-9317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 E Prospect Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805259718",
            "country_code": "US",
            "telephone_number": "970-493-0112",
            "fax_number": "970-493-1794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 Hospital Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294643892",
            "country_code": "US",
            "telephone_number": "854-429-4263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIANTANIDA",
        "first_name": "VINCENZO",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-02",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008063",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5868",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0008063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.