Intermountain Anesthesia Professional Consultants, LLP

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

INTERMOUNTAIN ANESTHESIA PROFESSIONAL CONSULTANTS, LLP

Doing business as

Northern Colorado Pain Management

Practice address

1175 58TH Ave
Ste 202
Greeley, CO 80634-4807

Phone

(970) 495-0300

Fax

(970) 224-9624

NPI assigned

Jul 12, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jan Gillespie, MD

Title

Owner

Phone

(970) 495-0300

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Northern Colorado Pain Management Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jan Gillespie-Wagner, MD

  • Interventional Pain Medicine Physician
  • Greeley, CO
  • NPI 1043293921

  Anesthesiology

  Medicare reassignment Care Compare group NPD
• Julie Ward

  • Clinical Social Worker
  • Greeley, CO
  • NPI 1538832977
  Medicare reassignment Care Compare group NPD
• Mollie M Bradmon, PA-C

  • Physician Assistant
  • Greeley, CO
  • NPI 1679859995
  Medicare reassignment Care Compare group
• Melissa A Martinez, PA-C

  • Medical Physician Assistant
  • Greeley, CO
  • NPI 1063697449
  Medicare reassignment Care Compare group
• Darci Rossiter, PA-C

  • Medical Physician Assistant
  • Greeley, CO
  • NPI 1427413392
  Medicare reassignment Care Compare group
• Heidi J Burnett, NP

  • Family Nurse Practitioner
  • Loveland, CO
  • NPI 1184270456
  Medicare reassignment NPD
• Karen G Jones, PA-C

  • Medical Physician Assistant
  • Greeley, CO
  • NPI 1265409742
  Medicare reassignment
• Terese K Snowden, M.D.

  • Family Medicine Physician
  • Greenwood Village, CO
  • NPI 1154448348
  Medicare reassignment
• Bruce Raymond Belleville, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Fort Collins, CO
  • NPI 1073670873
  NPD (past)
• Owen Lee Dry Jr., MD

  • Anesthesiology Physician
  • Greeley, CO
  • NPI 1437102555
  NPD (past)
• Margaret Ann Irish, DO

  • Physical Medicine & Rehabilitation Physician
  • Greeley, CO
  • NPI 1215965686
  NPD (past)
• Jonathan Grant Lord, DO

  • Anesthesiology Physician
  • Greeley, CO
  • NPI 1164471009
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891793022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 58TH AVE",
            "address_2": "STE 202",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344807",
            "telephone_number": "970-495-0300",
            "fax_number": "970-224-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 58TH AVE",
            "address_2": "STE 202",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344807",
            "telephone_number": "970-495-0300",
            "fax_number": "970-224-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN ANESTHESIA PROFESSIONAL CONSULTANTS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-495-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "IM160808",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112073500",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04018909",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Colorado Pain Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northern Colorado Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrated Medical Consultants (Colorado Clinic)
• Integrated Therapeutic Services, LLC
• Integration Mental Health LLC
• Interim Healthcare of Fort Collins, Inc. (Interim Healthcare of Greeley)
• Intermountain Anesthesia Professional Consultants, LLP
• Internal Medicine Consultants, PC
• Liam Ireland
• Alexandra Shay Irish
• Margaret Ann Irish, DO
• Amy Isaguirre, MA, LPCC

• Interventional Pain Medicine Physician in Greeley, CO
• Providers in Greeley, CO by specialty
• Interventional Pain Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.