Western Otolaryngology

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

19871416289 Issued in CO

Legal business name

WESTERN OTOLARYNGOLOGY

Practice address

3550 Lutheran Pkwy W
Ste 102
Wheat Ridge, CO 80033-6013

Phone

(303) 425-0449

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Carla Fetzer

Title

Office Manager

Phone

(303) 425-0449

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• James L Barron, MD

  • Otolaryngology Physician
  • Wheat Ridge, CO
  • NPI 1942344460
  NPD (past)
• Lyubov S Nemanov, AU.D.

  • Audiologist
  • Wheat Ridge, CO
  • NPI 1407909203
  NPD (past)
• Michael A Tralla, M.D.

  • Otolaryngology Physician
  • Wheat Ridge, CO
  • NPI 1689715088
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1093986986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 LUTHERAN PKWY W",
            "address_2": "STE 102 B",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336013",
            "telephone_number": "303-425-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 LUTHERAN PKWY W",
            "address_2": "STE 102",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336013",
            "telephone_number": "303-425-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN OTOLARYNGOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "FETZER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-425-0449"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CO",
            "license": "19871416289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Denver ASC, LLC
• Courtney Anne West
• Jason R West, DO
• Micah Joy West, RN
• Erin Elizabeth Wester, M.S., LMFT
• Sydney L Westgard
• Theresa Weston
• James Westover, DC
• Wheat Ridge Assisted Living Corp
• Wheat Ridge Dental Group PLLC

• Otolaryngology/Facial Plastic Surgery Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.