Organization Active NPI

Mountain View Family Healthcare PC

  • Family Medicine Physician
  • Durango, CO
National Provider Identifier
1063524288
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42313C0 Issued in CO
Legal business name
MOUNTAIN VIEW FAMILY HEALTHCARE PC
Practice address
72 Suttle St Ste C
Durango, CO 81303-6829
Phone
(970) 385-1770
Fax
(970) 259-5876
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Dr. Megan Ewing Lewis, MDNPI 1861552960
Title
Owner Practioner
Phone
(970) 385-1770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 42313C0 CO Primary

Addresses

Primary practice location

72 Suttle St Ste C
Durango, CO 81303-6829

Mailing address

72 Suttle St Ste C
Durango, CO 81303-6829
Phone (970) 385-1770

Other identifiers 1

IdentifierTypeStateIssuer
DE9656OtherCORAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

72 Suttle St
Ste C
Durango, CO 81303
Phone (970) 385-1770

2530 Colorado Ave
Unit 2C
Durango, CO 81301
Phone (970) 385-1770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1063524288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 SUTTLE ST STE C",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036829",
            "telephone_number": "970-385-1770",
            "fax_number": "970-259-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 SUTTLE ST STE C",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036829",
            "telephone_number": "970-385-1770",
            "fax_number": "970-259-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW FAMILY HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "EWING",
        "authorized_official_title_or_position": "OWNER PRACTIONER",
        "authorized_official_telephone_number": "970-385-1770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "42313C0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE9656",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.