FORT COLLINS SKIN CLINIC, P.C. – Dermatology Physician, NPI 1619904943

FORT COLLINS SKIN CLINIC, P.C. is a healthcare provider. based in Fort collins, Colorado. specializing in Dermatology Physician. The organization holds a License No. 39315 (CO). The NPI Number for FORT COLLINS SKIN CLINIC, P.C. is 1619904943

Main info

Organization
Name
FORT COLLINS SKIN CLINIC, P.C.
NPI
1619904943
Phone
(970) 484-6303
Address
1120 E ELIZABETH ST
Authorized Official
DR. BRAD ROBIN BAACK M.D. M.D.
Enumeration Date
26 June 2006
Last Update Date
4 September 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for FORT COLLINS SKIN CLINIC, P.C.

  • 1120, East Elizabeth Street, Fort Collins, Larimer County, Colorado, 80524, United States

    SUITE G-2

    FORT COLLINS, CO 805244044

    Phone: (970) 484-6303

    Fax: (970) 484-6908

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80524)

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Reviews

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Frequently asked questions

How is FORT COLLINS SKIN CLINIC, P.C. identified in CMS data?
CMS-hosted NPPES data lists FORT COLLINS SKIN CLINIC, P.C. with NPI 1619904943.
Can I rely on FORT COLLINS SKIN CLINIC, P.C. being an active provider?
As of the registry snapshot, FORT COLLINS SKIN CLINIC, P.C. is marked active.
What taxonomy line describes FORT COLLINS SKIN CLINIC, P.C.?
For research purposes, treat FORT COLLINS SKIN CLINIC, P.C. as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does FORT COLLINS SKIN CLINIC, P.C. list a practice location?
Patients near Fort Collins, Colorado may find FORT COLLINS SKIN CLINIC, P.C. in results; validate coverage separately.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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