NPIMap

Organization Active NPI

Gunnison Valley Hospital

Doing business as Gunnison Valley Orthopedics

  • Orthopaedic Surgery Physician
  • Gunnison, CO
National Provider Identifier
1013656917
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
GUNNISON VALLEY HOSPITAL
Doing business as
Gunnison Valley Orthopedics
Practice address
104 W Ruby Ave
Gunnison, CO 81230-2428
Phone
(970) 641-8899
NPI assigned
May 31, 2022
Last updated
May 31, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
GUNNISON VALLEY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Vanderveer
Title
Cfo
Phone
(970) 642-4760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

104 W Ruby Ave
Gunnison, CO 81230-2428

Mailing address

711 N Taylor St
Gunnison, CO 81230-2208

Other names 1

  • Gunnison Valley Orthopedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331000463 CO Part B Supplier - Clinic/Group Practice 8426040486 Receives reassigned benefits from 181 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gunnison, CO; Telluride, CO; Crested Butte, CO

Other NPIs on the same Medicare enrollment 27

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 27

National Provider Directory

National Provider Directory
Part of
Gunnison Valley Hospita

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

104 W Ruby Ave
Gunnison, CO 81230
Phone (970) 641-8899

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/gunnisn-7c8e1969

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1013656917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N TAYLOR ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W RUBY AVE",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302428",
            "telephone_number": "970-641-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNNISON VALLEY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUNNISON VALLEY HOSPITAL",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "VANDERVEER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "970-642-4760"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gunnison Valley Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gunnison, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.