Fort Collins Women'S Clinic, P.C.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

Legal business name

FORT COLLINS WOMEN'S CLINIC, P.C.

Practice address

1107 S Lemay Ave Ste 410
Fort Collins, CO 80524-3958

Phone

(970) 294-4464

Fax

(970) 482-1973

NPI assigned

Oct 26, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Scott Kenyon

Title

Practice Administrator

Phone

(970) 493-7442

Specialties & licenses 1

Addresses

Other names 1

• Rocky Mountain Perinatology Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Fort Collins Women'S Clinic, PC

  • Obstetrics & Gynecology Physician
  • Fort Collins, CO
  • NPI 1275591281

  O20040311000542

  Same enrollment

Locations

Practitioners 43

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

• Eva Joanne Abram, CNM, NP

  • Advanced Practice Midwife
  • Loveland, CO
  • NPI 1881232833
  NPD
• Jania Arcia Ramos, MD

  • Obstetrics Physician
  • Fort Collins, CO
  • NPI 1154882421
  NPD
• Cassandra Balon, M.D.

  • Obstetrics & Gynecology Physician
  • Fort Collins, CO
  • NPI 1548624992
  NPD
• Jessica Brynn Bare, D.O.

  • Obstetrics & Gynecology Physician
  • Loveland, CO
  • NPI 1528357209
  NPD
• John David Bragg, MD

  • Obstetrics & Gynecology Physician
  • Loveland, CO
  • NPI 1801877972
  NPD
• Susan Bush, CNM

  • Advanced Practice Midwife
  • Loveland, CO
  • NPI 1477541050
  NPD
• Stephanie Chalifour

  • Obstetrics & Gynecology Physician
  • Loveland, CO
  • NPI 1336673268
  NPD
• Catherine Foard Coffman, M.D.

  • Obstetrics & Gynecology Physician
  • Fort Collins, CO
  • NPI 1831456847
  NPD
• Megan Ruby Davis, CNM

  • Advanced Practice Midwife
  • Fort Collins, CO
  • NPI 1255156766
  NPD
• Elyse L Diewald, FNP-C

  • Family Nurse Practitioner
  • Laporte, CO
  • NPI 1679200497
  NPD
• Keri Ferguson, NP-C

  • Nurse Practitioner
  • Fort Collins, CO
  • NPI 1326519679
  NPD
• Tracy J Hall, CNM

  • Advanced Practice Midwife
  • Fort Collins, CO
  • NPI 1770192288
  NPD

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1770836892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 SOUTH LEMAY AVENUE",
            "address_2": "SUITE 300",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243955",
            "telephone_number": "970-493-7442",
            "fax_number": "970-493-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S LEMAY AVE STE 410",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243958",
            "telephone_number": "970-294-4464",
            "fax_number": "970-482-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT COLLINS WOMEN'S CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "KENYON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "970-493-7442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Perinatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocky Mountain Perinatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fort Collins Primary Care PLLC
• Fort Collins Radiologic Associates PC
• Fort Collins Skin Clinic, P.C.
• Fort Collins Spine LLC
• Fort Collins Spine LLC DME
• Fort Collins Women'S Clinic, PC
• Fort Collins Youth Clinic
• Fort Collins Youth Clinic
• Kristin Fortunski, PT, DPT
• Anna Foster, IBCLC, OTR/L

• Maternal & Fetal Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Maternal & Fetal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.