CMG PRIMARY CARE SOUTHWEST. LONGMONT
NPI 1780047902
Family Medicine in Longmont, CO
NPI Status: Active since April 04, 2016
Contact Information
2101 KEN PRATT BLVD STE 200
LONGMONT, CO
ZIP 80501
Phone: (303) 649-6350
Fax: (303) 649-3501
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 06D2120609
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-19-2026
About CMG PRIMARY CARE SOUTHWEST. LONGMONT
This page provides the complete NPI Profile along with additional information for Cmg Primary Care Southwest. Longmont, a primary care provider established in Longmont, Colorado operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1780047902 assigned on April 2016. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Cmg Primary Care Southwest. Longmont operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Cmg Primary Care Southwest. Longmont. The authorized official of this NPI record is Mrs. Angela Jo Skinner (Administrator Oma)
- NPI
- 1780047902
- Provider Legal Name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Other Organization Name
- CMG PRIMARY CARE SOUTHWEST. LONGMONT
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 2101 KEN PRATT BLVD STE 200 LONGMONT, CO 80501
- Location Phone
- (303) 649-6350
- Location Fax
- (303) 649-3501
- Mailing Address
- PO BOX 800022 KANSAS CITY, MO 64180
- Mailing Phone
- (800) 953-0104
- Mailing Fax
- (303) 649-3501
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-04-2016
- Last Update Date
- 06-24-2024
- Code Navigator
A primary care provider (PCP) like Cmg Primary Care Southwest. Longmont sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D2120609
- Facility Type
- Physician Office
- Certificate Effective Date
- October 20, 2024
- Certificate Expiration Date
- October 19, 2026
- Laboratory Director
- DR. SAHAR ABDELQADER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Cmg Primary Care Southwest. Longmont in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 8 | 0 | 0 | 4 | 7 | 9 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 0 | 4 | 14 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 0 + 4 + 1 + 4 + 9 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1780047902 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922005651 | SUSAN SEYDOR NELSON NP Individual | Nurse Practitioner (Family) | 2101 KEN PRATT BLVD STE 200 LONGMONT, CO 80501 (303) 649-3500 |
| 1740609866 | ALICE MARIE VIENNEAU LCSW Individual | Social Worker (Clinical) | 2101 KEN PRATT BLVD STE 200 LONGMONT, CO 80501 (303) 649-3500 |
| 1184157588 | DANIELLE TRUJILLO D.O. Individual | Family Medicine | 2101 KEN PRATT BLVD STE 200 LONGMONT, CO 80501 (303) 649-3500 |
| 1720541170 | MR. CHARLES PORTER SLOAN III NP Individual | Nurse Practitioner | 2101 KEN PRATT BLVD STE 200 LONGMONT, CO 80501 (303) 649-3500 |
| 1598420739 | MRS. KARLA SUE WALLEN NP-C Individual | Nurse Practitioner (Family) | 2101 KEN PRATT BLVD STE 200 LONGMONT, CO 80501 (303) 649-3500 |
| 1366600710 | DR. SAHAR ABDALLAH ABDELQADER MD Individual | Internal Medicine | 2101 KEN PRATT BLVD STE 200 LONGMONT, CO 80501 (303) 649-3500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780047902, enumerated in the NPI registry as an "organization" on April 04, 2016
The provider is located at 2101 Ken Pratt Blvd Ste 200 Longmont, Co 80501 and the phone number is (303) 649-6350
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 06D2120609 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on April 04, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.