Organization Active NPI

Integrated Medical Consultants

Doing business as Colorado Clinic

  • Pain Medicine (Anesthesiology) Physician
  • Loveland, CO
National Provider Identifier
1750636650
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35700 Issued in CO
Legal business name
INTEGRATED MEDICAL CONSULTANTS
Doing business as
Colorado Clinic
Practice address
3810 N. Grant Ave.
Loveland, CO 80538-8412
Phone
(970) 221-9451
Fax
(877) 535-9359
NPI assigned
Jul 17, 2012
Last updated
Apr 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
David Feeback, PRACTICE ADMINISTRAT
Title
Practice Administrator
Phone
(970) 221-9451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 35700 CO Primary

Addresses

Primary practice location

3810 N. Grant Ave.
Loveland, CO 80538-8412

Mailing address

PO Box 574
Gretna, NE 68028-0574
Phone (970) 221-9451

Other practice location 1

7251 W 20th St Unit N
Greeley, CO 80634
Phone (970) 221-9451

Other practice location 2

2312 N Nevada Ave Ste 305
Colorado Springs, CO 80907
Phone (970) 221-9451

Other names 1

  • Colorado Clinic Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1550 S Potomac St
Ste 320
Aurora, CO 80012
Phone (303) 369-9445

3810 Grant Ave
#G
Loveland, CO 80538
Phone (719) 941-1400

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1750636650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680280574",
            "telephone_number": "970-221-9451",
            "fax_number": "877-535-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 N. GRANT AVE.",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388412",
            "telephone_number": "970-221-9451",
            "fax_number": "877-535-9359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7251 W 20th St Unit N",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "80634",
            "country_code": "US",
            "telephone_number": "970-221-9451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2312 N Nevada Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80907",
            "country_code": "US",
            "telephone_number": "970-221-9451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "FEEBACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "970-221-9451",
        "authorized_official_credential": "PRACTICE ADMINISTRAT"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "35700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colorado Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.