Cedaredge Doctors Office PC

Organization Active NPI Family Medicine Physician · Cedaredge, CO

NPI 1922060656 · NPPES record last updated Aug 12, 2025

Key facts

NPI
1922060656
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CEDAREDGE DOCTORS OFFICE PC
Practice address
255 S Grand Mesa Dr
Cedaredge, CO 81413-3822
Phone
(970) 399-2611
Fax
(970) 856-4114
NPI assigned
Apr 6, 2006
Organization subpart
No

Authorized official

Name
Jonathan Cohee
Title
Ceo
Phone
(970) 874-2285

Practitioners 1

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

National Provider Directory

Locations

255 S Grand Mesa Dr
Ofc
Cedaredge, CO 81413
Phone (970) 856-4111

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

255 S Grand Mesa Dr
Cedaredge, CO 81413-3822

Mailing address

255 S Grand Mesa Dr
Cedaredge, CO 81413-3822
Phone (970) 399-2611

Other identifiers

IdentifierTypeStateIssuer
42323797MedicaidCO
CE39326OtherCOBLUE CROSS BLUE SHIELD

Other providers in Cedaredge, CO

All providers in Cedaredge, CO · Family Medicine Physician in Colorado

Sources for this page

Verify at the official NPI Registry.