NPIMap

Organization Active NPI

Glenwood Medical Associates PC

  • Family Medicine Physician
  • Silt, CO
National Provider Identifier
1073867271
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48893 Issued in CO
Legal business name
GLENWOOD MEDICAL ASSOCIATES PC
Practice address
2001 N Horseshoe TRL
Silt, CO 81652-9832
Phone
(970) 876-5700
Fax
(970) 876-0482
NPI assigned
Nov 9, 2012
Last updated
Nov 9, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
GLENWOOD MEDICAL ASSOCIATES PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Authorized official

Name
Tim Burns
Title
Chief Administrative Officer
Phone
(970) 945-8503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 48893 CO Primary

Addresses

Primary practice location

2001 N Horseshoe TRL
Silt, CO 81652-9832

Mailing address

1830 Blake Ave
Glenwood Springs, CO 81601-4275
Phone (970) 945-8503

National Provider Directory

National Provider Directory
Tax ID family
Eagle Clinic5 organizations share this tax ID, including this one
Part of
Eagle Clinic

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: grp@gma.direct.vvh.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71730
  • Direct secure messaging: janj@gma.direct.vvh.org

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1073867271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014275",
            "telephone_number": "970-945-8503",
            "fax_number": "970-945-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N HORSESHOE TRL",
            "city": "SILT",
            "state": "CO",
            "postal_code": "816529832",
            "telephone_number": "970-876-5700",
            "fax_number": "970-876-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD MEDICAL ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLENWOOD MEDICAL ASSOCIATES PC",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "970-945-8503"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "48893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silt, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.