Individual provider Active NPI

Lorraine M Malonson, PA

  • Physician Assistant
  • Thornton, CO
National Provider Identifier
1720208036
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1230 Issued in CO
Practice address
13631 Colorado Blvd
Thornton, CO 80602-7051
Phone
(303) 252-2960
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1230 CO Primary

Addresses

Primary practice location

13631 Colorado Blvd
Thornton, CO 80602-7051

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4451

Other practice location 1

11245 Huron St
Westminster, CO 80234-2806
Phone (303) 338-4545

Other identifiers 2

IdentifierTypeStateIssuer
019339OtherCOKAISER PROVIDER NUMBER
93358563MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081216000250 CO Practitioner - Physician Assistant 0941362545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1100 E Prospect Rd
BLDG a
Fort Collins, CO 80525-5304
Phone (970) 297-6630

1106 E Prospect Rd
Building B Suite 100
Fort Collins, CO 80525-5304
Phone (970) 495-7410

1159 Eagle Dr
Urgent Care Eagle Drive
Loveland, CO 80537-8020
Phone (970) 219-5223

13631 Colorado Blvd
Thornton, CO 80602-7051
Phone (303) 252-2960

15240 W 64TH Ave
Uchmg Primary/Urgent Care Arvada West
Arvada, CO 80007-7511
Phone (303) 463-7181

2127 E Harmony Rd
Suite 140 Uchmg Harmony Urgent Care
Fort Collins, CO 80528-3406
Phone (970) 297-6250

221 E 29TH St
Loveland, CO 80538-2746

2819 35TH Ave
Greeley, CO 80634-9421
Phone (970) 652-2801

2970 Arapahoe Rd
Lafayette, CO 80026-8054
Phone (303) 460-6010

311 Steele St
Denver, CO 80206-4414
Phone (303) 372-4010

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

4846 Larimer Pkwy
BLDG 1
Johnstown, CO 80534-9012
Phone (970) 624-2830

5589 Argonne St
Denver, CO 80249-8989
Phone (720) 516-8805

5965 Firestone Blvd
Firestone, CO 80504-6607
Phone (303) 678-4340

9475 S University Blvd
Uchealth Primary/Urgent Care Highlands Ranc
Highlands Ranch, CO 80126-7802
Phone (303) 470-4071

Hospital & facility affiliations

  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024
  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
  • Uchealth Broomfield Hospital Hospital, Broomfield, CO, CCN 060129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1230COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Feb 19, 2019 Accepting new patients
Uchealth Community Services Past Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients

Locations

15240 W 64th Ave
Arvada, CO 80007
Phone (303) 463-7180

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

2450 S Peoria St
Ste 245
Aurora, CO 80014
Phone (303) 752-7732

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

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

311 Steele St
Denver, CO 80206
Phone (303) 372-4000

5589 Argonne St
Denver, CO 80249
Phone (303) 371-0330

5965 Firestone Blvd
Bldg B
Firestone, CO 80504
Phone (720) 652-7055

5965 Firestone Blvd
Firestone, CO 80504
Phone (720) 652-7055

1100 E Prospect Rd
Fort Collins, CO 80525
Phone (970) 484-2850

2127 E Harmony Rd
Ste 140
Fort Collins, CO 80528
Phone (970) 207-4800

5881 W 16th St
Ste A
Greeley, CO 80634
Phone (970) 313-2700

2819 35th Ave
Greeley, CO 80634
Phone (970) 652-2801

9475 S University Blvd
Highlands Ranch, CO 80126
Phone (303) 470-4061

4846 Larimer Pkwy
Bldg 1
Johnstown, CO 80534
Phone (970) 624-2830

2970 Arapahoe Rd
Lafayette, CO 80026
Phone (303) 460-6010

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

2101 Main St
Longmont, CO 80501
Phone (720) 745-8020

221 E 29th St
Ste 102
Loveland, CO 80538
Phone (970) 224-3636

1159 Eagle Dr
Loveland, CO 80537
Phone (970) 219-5223

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

13631 Colorado Blvd
Thornton, CO 80602
Phone (303) 252-2960

Organizations & group practices 3

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 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1720208036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-4451",
            "fax_number": "970-490-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13631 COLORADO BLVD",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806027051",
            "telephone_number": "303-252-2960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11245 Huron St",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "802342806",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONSON",
        "first_name": "LORRAINE",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PROVIDER NUMBER",
            "identifier": "019339",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93358563",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.