Front Range Pain Medicine

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

28646 Issued in CO

Legal business name

FRONT RANGE PAIN MEDICINE

Practice address

3744 S Timberline Rd
Suite 102
Fort Collins, CO 80525-4333

Phone

(970) 495-0506

Fax

(970) 484-4514

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Boylan, DO

Title

Owner

Phone

(970) 495-0506

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992823645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 BOULDER CIR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805249252",
            "telephone_number": "970-498-0511",
            "fax_number": "970-484-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 S TIMBERLINE RD",
            "address_2": "SUITE 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254333",
            "telephone_number": "970-495-0506",
            "fax_number": "970-484-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE PAIN MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYLAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-495-0506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "28646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Front Range Clinic Inc.
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• Front Range Dermatology Associates
• Front Range Geriatric Medicine LLC
• Front Range Health & Rehabilitation, LLC
• Front Range Pain Medicine LLC
• Front Range Radiology Prof, LLC
• Front Range Therapy Systems
• Front Range Therapy Systems, Inc.
• Front Range Vision Care, PLLC

• Pain Medicine (Anesthesiology) Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Pain Medicine (Anesthesiology) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.