FRONT RANGE DERMATOLOGY ASSOCIATES – NPI #1184973786
Dermatology

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

FRONT RANGE DERMATOLOGY ASSOCIATES is a dermatologist located in GREELEY, CO. NPPES has assigned the NPI number 1184973786 to FRONT RANGE DERMATOLOGY ASSOCIATES on August 29, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ND0900X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Dermatopathology

The NPI profile was previously updated about 6 years ago on Jun 30, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRONT RANGE DERMATOLOGY ASSOCIATES below.

NPI Profile for
FRONT RANGE DERMATOLOGY ASSOCIATES

NPI Number
1184973786
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FRONT RANGE DERMATOLOGY ASSOCIATES
Primary location
6801 WEST 20TH
SUITE 208
GREELEY, CO 80634
Phone: (970) 673-1155 Fax: (970) 673-4747
Mailing address
PO BOX 69
TIMNATH, CO 80547
Phone: (970) 673-1155 Fax: (970) 673-4747
Organization Subpart
No
Authorized Official
AARON HOOVER
OWNER
Phone: (970) 673-1155
Updated
Certification Date
Jun 30, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FRONT RANGE DERMATOLOGY ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE PTANCOCOAAA3047
MEDICAIDCO45021023
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0900X
- Dermatology / Dermatopathology (Primary)
CO 49733

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.