NPIMap

Organization Active NPI

Family Physicians of Greeley, LLP

  • Family Medicine Physician
  • Johnstown, CO
National Provider Identifier
1942698071
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY PHYSICIANS OF GREELEY, LLP
Practice address
473 Castle Pines Ave
Suite 1
Johnstown, CO 80534
Phone
(970) 587-7881
Fax
(970) 587-7738
NPI assigned
Dec 23, 2014
Last updated
Jul 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY PHYSICIANS OF GREELEY LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Mr. Kyle Jon Lynch
Title
Practice Administrator Authorized O
Phone
(970) 378-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Adolescent Medicine (Family Medicine) Physician 207QA0000X NU

Addresses

Primary practice location

473 Castle Pines Ave
Suite 1
Johnstown, CO 80534

Mailing address

6801 W. 20TH Street
Suite 101
Greeley, CO 80634
Phone (970) 378-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040216000502 CO Part B Supplier - Clinic/Group Practice 0143115691 Receives reassigned benefits from 46 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Johnstown, CO; Greeley, CO

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Family Physicians of GR3 organizations share this tax ID, including this one
Part of
Family Physicians of GR

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1175 58th Ave
Ste 100
Greeley, CO 80634
Phone (970) 378-8000

2520 W 16th St
Greeley, CO 80634
Phone (970) 356-2520

257 Johnstown Center Dr
Johnstown, CO 80534
Phone (970) 587-7881

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1942698071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 W. 20TH STREET",
            "address_2": "SUITE 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "970-378-8000",
            "fax_number": "970-378-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 CASTLE PINES AVE",
            "address_2": "SUITE 1",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "80534",
            "telephone_number": "970-587-7881",
            "fax_number": "970-587-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS OF GREELEY, LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY PHYSICIANS OF GREELEY LLP",
        "enumeration_date": "2014-12-23",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR AUTHORIZED O",
        "authorized_official_telephone_number": "970-378-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.