WHOLENESS MEDICAL SERVICES LLC
NPI 1073896700
Physician Assistant - Medical in Fort Collins, CO

Q: What is Wholeness Medical Services LLC's NPI number?

The NPI number for Wholeness Medical Services LLC is 1073896700. It was assigned to this organization in the NPPES registry on September 20, 2011.

Q: What is Wholeness Medical Services LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since September 20, 2011

2620 E PROSPECT RD STE 190, FORT COLLINS, CO 80525(970) 221-1106(970) 232-1050 Get Directions Write a Review

NPPES record last updated: September 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Wholeness Medical Services Llc NPPES

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

WHOLENESS MEDICAL SERVICES LLC (NPI 1073896700) is a healthcare organization registered as a medical in Fort Collins, Colorado and active in the NPI registry since September 2011. The organization lists Scott Shannon, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1073896700

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameWHOLENESS MEDICAL SERVICES LLC

Location Address2620 E PROSPECT RD STE 190Fort Collins, CO 80525-9098

Mailing Address2620 E Prospect Rd Ste 190Fort Collins, CO 80525-9098 · (970) 221-1106 · Fax (970) 232-1050

Phone(970) 221-1106

Fax(970) 232-1050

Organization SubpartNo

Authorized OfficialScott ShannonOwner/member · (970) 221-1106

Enumeration DateSeptember 20, 2011

✔ NPI 1073896700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CO · 31090

Also ListedFamily MedicineTaxonomy 207Q00000X · License 31090 (CO)

Also ListedInternal MedicineTaxonomy 207R00000X · License 31090 (CO)

2620 E PROSPECT RD STE 190, Fort Collins, CO 80525

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

WHOLENESS HEALTH, LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))