Mount Elbert Surgical Solutions LLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

MOUNT ELBERT SURGICAL SOLUTIONS LLC

Practice address

7207 Streamside Dr
Fort Collins, CO 80525-8816

Phone

(970) 315-4018

Fax

(970) 315-5554

NPI assigned

Dec 29, 2016

Organization subpart

No

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

Authorized official

Name

Fernando Techy, M.D.

Title

Owner

Phone

(970) 315-4018

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1073058061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 STREAMSIDE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805258816",
            "telephone_number": "970-315-4018",
            "fax_number": "970-315-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 STREAMSIDE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805258816",
            "telephone_number": "970-315-4018",
            "fax_number": "970-315-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT ELBERT SURGICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "TECHY",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-315-4018",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.