Active NPI
Lindsey C Bannon, MD
- Obstetrics & Gynecology Physician
- Loveland, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- DR.0063786
- Practice address
- 2500 Rocky Mountain Ave Ste 2100
Loveland, CO 80538-9004 - Phone
- (970) 203-7153
- Fax
- (970) 336-1505
- NPI assigned
- Apr 16, 2012
- Last updated
- May 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DR.0063786 | CO | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 01073727A | IN |
Addresses
Primary practice location
2500 Rocky Mountain Ave Ste 2100
Loveland, CO 80538-9004
Mailing address
2500 Rocky Mountain Ave
Nmob Suite 2100
Loveland, CO 80538
Phone (970) 203-7153
Other practice location 1
390 Outer Loop Rd.
Fort Irwin, CA 92310
Phone (760) 383-5355
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0063786 | CO | MD | Obstetrics & Gynecology Physician |
| 01073727A | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Medical Center of the Rockies | Past | Accepting new patients | |
| Uchealth Greeley Hospital | Past | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
5881 W 16th St
Ste B
Greeley, CO 80634
Phone (970) 336-1500
6767 29th St
Greeley, CO 80634
Phone (970) 652-2000
2500 Rocky Mountain Ave
Ste 151
Loveland, CO 80538
Phone (970) 336-1500
2500 Rocky Mountain Ave
Ste 2100
Loveland, CO 80538
Phone (970) 203-7153
2500 Rocky Mountain Ave
Ste 2100UCHMG
Loveland, CO 80538
Phone (970) 203-7000
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403
4650 Signal Tree Dr
Ste 1200
Timnath, CO 80547
Phone (970) 237-7415
355 Eastman Park Dr
Unit 200
Windsor, CO 80550
Phone (970) 336-1500
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Loveland, CO
- NPI 1750392304
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1780183145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1841557741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 ROCKY MOUNTAIN AVE",
"address_2": "NMOB SUITE 2100",
"city": "LOVELAND",
"state": "CO",
"postal_code": "80538",
"telephone_number": "970-203-7153",
"fax_number": "970-336-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 ROCKY MOUNTAIN AVE STE 2100",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805389004",
"telephone_number": "970-203-7153",
"fax_number": "970-336-1505"
}
],
"practiceLocations": [
{
"address_1": "390 Outer Loop Rd.",
"address_purpose": "LOCATION",
"city": "Fort Irwin",
"state": "CA",
"postal_code": "92310",
"country_code": "US",
"telephone_number": "760-383-5355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANNON",
"first_name": "LINDSEY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-16",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "DR.0063786",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01073727A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.