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LONGMONT CLINIC PC
NPI 1043269772
General Practice in Longmont, CO

Active since May 09, 2006
1925 W MOUNTAIN VIEW AVE, LONGMONT, CO 80501(720) 494-3173(720) 494-3107 Get Directions Write a Review

NPPES record last updated: December 12, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Longmont Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONGMONT CLINIC PC (NPI 1043269772) is a healthcare organization registered as a general practice in Longmont, Colorado and active in the NPI registry since May 2006. The organization lists John P. Stathis, President, Board Of Directors, as its authorized official.

NPPES Registry Identity

NPI1043269772
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLONGMONT CLINIC PC
Location Address1925 W MOUNTAIN VIEW AVELongmont, CO 80501-3128
Mailing Address1925 W Mountain View AveLongmont, CO 80501-3128 · (720) 494-3173 · Fax (720) 494-3107
Phone(720) 494-3173
Fax(720) 494-3107
Organization SubpartNo
Authorized OfficialJohn P. StathisPresident, Board Of Directors · (720) 494-3173
Enumeration DateMay 9, 2006
Last NPPES UpdateDecember 12, 2013
✔ NPI 1043269772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1925 W MOUNTAIN VIEW AVE, Longmont, CO 80501
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Other Identifiers 2

Other44008CO · Medicare Group Number
Medicare NSC0371510001CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER N ISAACSON MD
Pediatrics
1925 W MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Boulder County (303) 776-1234
RACHEL M BASSETT MD
Family Medicine
1925 W MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Boulder County (303) 776-1234
ROBERT J MOFFAT M.D.
Hospitalist
1925 W MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Boulder County (303) 776-1234
MISS VANESSA LEA POMFRET REGISTERED NURSE
Registered Nurse
1925 W MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Boulder County (720) 494-3119
SHERYL A BACHMAN RD
Dietitian, Registered
1925 W MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Boulder County (303) 776-1234
DR. JOHN LEONARD MD
Surgery (Vascular Surgery)
1925 W MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Boulder County (303) 776-1234
DR. KEVIN BERG MD
Surgery
1925 W MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Boulder County (303) 776-1234
DR. JEROME LANDBLOM MD
Family Medicine
1925 W MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Boulder County (303) 776-1234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Longmont Clinic PC's NPI number?

The NPI number for Longmont Clinic PC is 1043269772. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Longmont Clinic PC located?

Longmont Clinic PC is located at 1925 W Mountain View Ave, Longmont, CO 80501. The listed phone number is (720) 494-3173.

What is Longmont Clinic PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Longmont Clinic PC was last updated on December 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.