Angela Ammon, MD
Individual provider Active NPI Family Medicine Physician · Eagle, CO
NPI 1043389356 · NPPES record last updated Jul 30, 2008
Key facts
- NPI
- 1043389356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- CO35669 (CO)
- Practice address
- 377 Sylvan Lake Rd Ste 220
Eagle, CO 81631-0129 - Phone
- (970) 328-6357
- Fax
- (970) 328-5633
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Cincinnati College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Valley View Hospital Association
Practice addresses (Care Compare)
1830 Blake Ave
Suite 101
Glenwood Springs, CO 81601-4275
Phone (970) 384-8028
1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 945-6533
195 Freestone Rd
Eagle, CO 81631-5930
Phone (970) 328-6357
377 Sylvan Lake Rd
Eagle, CO 81631-6779
Hospital & facility affiliations
- Valley View Hospital Association
- Vail Health Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 20 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110114000713 | CO | Practitioner - Family Practice | 6901095322 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO35669 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley View Hospital Association | Current |
Accepting new patients | |
| Valley View Hospital Association | Current | Accepting new patients | |
| Valley View Hospital Association | Family Medicine | Current |
Accepting new patients |
| Valley View Hospital Association | Current | Accepting new patients |
Locations
377 Sylvan Lake Rd
Ste 220
Eagle, CO 81631
Phone (970) 328-6357
377 Sylvan Lake Rd
Eagle, CO 81631
Phone (970) 328-1650
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
Interoperability endpoints
- vvh_him@direct.vvh.org
- angela.ammon.1@9028.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CO35669 | CO | Yes |
Addresses
Primary practice location
377 Sylvan Lake Rd Ste 220
Eagle, CO 81631-0129
Mailing address
PO Box 0129
Eagle, CO 81631-0129
Phone (970) 328-6357
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01356690 | Medicaid | CO | |
| 1043389356 | Other | CO | NPI |
| CO35669 | Other | CO | LICENSE |
Other providers in Eagle, CO
- All Kids Dental Pediatrics and Orthodontics
- Allergy, Asthma & Immunology of the Rockies, PC
- Alpine Open Imaging LLC
- Altius Enterprises PLLC
- Altius Rehabilitation and Wellness, PLLC
- Joy Lynel Ariel
- Casandra Ruby Armas
- Holly Marie Asmus
- Aspen Hope Center
- Aubrey Ann Austin
All providers in Eagle, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2008. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.