Bariatric and Lifestyle Medicine LLC

Primary specialty

Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X

License

37885 Issued in CO

Legal business name

BARIATRIC AND LIFESTYLE MEDICINE LLC

Practice address

1939 Wilmington Dr
Suite 102
Fort Collins, CO 80528-6404

Phone

(970) 980-6024

Fax

(877) 489-6002

NPI assigned

Jan 4, 2011

Organization subpart

No

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

Authorized official

Name

Melissa J McCann

Title

Billing Manager

Phone

(970) 980-6024

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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

• James D Hendrick, MD

  • Obesity Medicine (Internal Medicine) Physician
  • Fort Collins, CO
  • NPI 1073540571
  Medicare reassignment NPD

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1851695985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 WILMINGTON DR",
            "address_2": "SUITE 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286404",
            "telephone_number": "970-980-6024",
            "fax_number": "877-489-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 WILMINGTON DR",
            "address_2": "SUITE 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286404",
            "telephone_number": "970-980-6024",
            "fax_number": "877-489-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIATRIC AND LIFESTYLE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "970-980-6024"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "CO",
            "license": "37885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32801718",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol F Barclay, PT
• Morgan Barclay
• Meaghan Bare
• Denise Marie Baretich, R.N.
• Tyler Barfield, LMT
• Jason Elliott Barker, ND
• Joshua Barker
• Lance E Barker, D.O.
• Lorie Yvette Barker, OTR
• Pamela Barker, P.T.

• Obesity Medicine (Internal Medicine) Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Obesity Medicine (Internal Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.