Front Range Gastroenterology Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FRONT RANGE GASTROENTEROLOGY ASSOCIATES

Practice address

205 S Main St
Suite a
Longmont, CO 80501-1716

Phone

(303) 776-6115

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Sara Zavala

Title

Office Manager

Phone

(303) 776-6115

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1730124835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "address_2": "SUITE A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011716",
            "telephone_number": "303-776-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "address_2": "SUITE A",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011716",
            "telephone_number": "303-776-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE GASTROENTEROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "ZAVALA",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-776-6115"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04015855",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek Thomas Fritz, DC
• John Allan Fritz, D.O.
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• Front Range Hippotherapy
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• Front Range Optical
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• Front Range Otolaryngology & Facial Plastic Surgery PC

• Specialist in Longmont, CO
• Providers in Longmont, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.