ALTITUDE DERMATOLOGY PC
NPI 1821856303
Dermatology in Johnstown, CO

Active since March 11, 2024
4795 LARIMER PKWY STE 150, JOHNSTOWN, CO 80534(970) 342-2222(970) 342-2233 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2024, Jul 18, 2024, May 1, 2024 (3 updates tracked since 2024).

About Altitude Dermatology Pc NPPES

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

ALTITUDE DERMATOLOGY PC (NPI 1821856303), doing business as Altitude Dermatology, Pc, is a healthcare organization registered as a dermatology in Johnstown, Colorado and active in the NPI registry since March 2024. The organization maintains 2 additional practice locations and lists Brad Baack, Authorized Rep, as its authorized official.

NPPES Registry Identity

NPI1821856303
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameALTITUDE DERMATOLOGY PC
Location Address4795 LARIMER PKWY STE 150Johnstown, CO 80534-9021
Mailing Address4795 Larimer Pkwy Ste 150Johnstown, CO 80534-9021 · (970) 342-2222 · Fax (970) 342-2233
Fax(970) 342-2233
Organization SubpartNo
Authorized OfficialBrad BaackAuthorized Rep · (970) 217-8817
Enumeration DateMarch 11, 2024
Last NPPES UpdateSeptember 30, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
NPI 1821856303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4795 LARIMER PKWY STE 150, Johnstown, CO 80534

Other Names 1

Former Legal Business NameAltitude Dermatology, Pc

Secondary Practice Locations 2

Location 11350 Tulip St Ste 2Longmont, CO 80501-3140 · Phone (970) 342-2222 · Fax (970) 342-2233
Location 22032 Lowe StFort Collins, CO 80525-5741 · Phone (970) 342-2222 · Fax (970) 342-2233

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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 06D2308893

Altitude Dermatology, PC · Longmont, CO
Expired · Aug 5, 2026
CLIA Number06D2308893
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2024
Certificate Expiration DateAugust 5, 2026
Laboratory DirectorDr. Brad R. Baack
Laboratory Phone(970) 342-2222
Laboratory LocationAltitude Dermatology, PC1350 Tulip St Suite 2, Longmont, CO 80501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 06D2308200

Altitude Dermatology, PC · Johnstown, CO
Expired · Jul 22, 2026
CLIA Number06D2308200
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2024
Certificate Expiration DateJuly 22, 2026
Laboratory DirectorDr. Brad R. Baack
Laboratory Phone(970) 342-2222
Laboratory LocationAltitude Dermatology, PC4795 Larimer Parkway Suite 150, Johnstown, CO 80534
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

Dermatology
4795 LARIMER PKWY STE 150
JOHNSTOWN, CO 80534
Physician Assistant
4795 LARIMER PKWY STE 150
JOHNSTOWN, CO 80534
Physician Assistant (Medical)
4795 LARIMER PKWY STE 150
JOHNSTOWN, CO 80534
Dermatology (Dermatopathology)
4795 LARIMER PKWY STE 150
JOHNSTOWN, CO 80534
Physician Assistant
4795 LARIMER PKWY STE 150
JOHNSTOWN, CO 80534

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 Altitude Dermatology PC's NPI number?

The NPI number for Altitude Dermatology PC is 1821856303. It was assigned to this organization in the NPPES registry on March 11, 2024. The provider was formerly known as Altitude Dermatology, PC.

Where is Altitude Dermatology PC located?

Altitude Dermatology PC is located at 4795 Larimer Pkwy Ste 150, Johnstown, CO 80534. The listed phone number is (970) 342-2222.

What is Altitude Dermatology PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Altitude Dermatology PC was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.