Peaks Urgent Care PC
Organization Active NPI Urgent Care Clinic/Center · Dillon, CO
NPI 1023747649 · NPPES record last updated Jun 8, 2022
Key facts
- NPI
- 1023747649
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- PEAKS URGENT CARE PC
- Practice address
- 956 W. Anemone Trail
Dillon, CO 80435-8043 - Phone
- (314) 308-7681
- Fax
- (314) 666-8848
- NPI assigned
- Jun 8, 2022
- Organization subpart
- No
Authorized official
- Name
- Nizar Assi, MD
- Title
- Owner, Ceo
- Phone
- (314) 640-1632
Practitioners 8
-
Nizar A Assi, MD
-
Stacy Kay Berry, FNP
-
Laura Corriero, NP
-
Jessica J. Hinchcliff, APRN
-
Lydia Sprouse, NP
-
Sara K Herbert, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230406001358 | CO | Part B Supplier - Clinic/Group Practice | 3173998077 |
Receives reassigned benefits from 7 practitioners Practice locations: Dillon, CO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
956 W. Anemone Trail
Dillon, CO 80435-8043
Mailing address
PO Box 6132
Chesterfield, MO 63006-6132
Phone (314) 640-1632
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.peaksmedicalandurgentcare.com |
NPI Registry JSON
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654646400000",
"number": "1023747649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6132",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630066132",
"telephone_number": "314-640-1632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "956 W. ANEMONE TRAIL",
"city": "DILLON",
"state": "CO",
"postal_code": "804358043",
"telephone_number": "314-308-7681",
"fax_number": "314-666-8848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAKS URGENT CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-08",
"last_updated": "2022-06-08",
"certification_date": "2022-06-02",
"status": "A",
"authorized_official_last_name": "ASSI",
"authorized_official_first_name": "NIZAR",
"authorized_official_title_or_position": "OWNER, CEO",
"authorized_official_telephone_number": "314-640-1632",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.peaksmedicalandurgentcare.com",
"affiliation": "N",
"address_1": "956 W. Anemone Trail",
"city": "Dillon",
"state": "CO",
"country_code": "US",
"postal_code": "804358043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dillon, CO
- James Oberheide
- Ciara Jean Odom
- Jingeu M Park
- Peak Vision
- Peaks Medical PC
- Janice L Picard
- Pink Dopamine Psychiatry LLC
- Heather Porter
- Paul Edward Redpath
- Rachel Eva Roberts
All providers in Dillon, CO · Urgent Care Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.