Active NPI
Eric Traister, M.D.
- Family Medicine Physician
- Longmont, CO
National Provider Identifier
1104141670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 50150
- Practice address
- 1309 Sunset St
Longmont, CO 80501-3215 - Phone
- (303) 772-5578
- NPI assigned
- Mar 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 0050150 | CO | |
| Family Medicine Physician | 207Q00000X | 50150 | CO | Primary |
Addresses
Primary practice location
1309 Sunset St
Longmont, CO 80501-3215
Mailing address
1309 Sunset St
Longmont, CO 80501-3215
Phone (303) 772-5578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
1309 Sunset St
Longmont, CO 80501-3215
Phone (303) 772-5578
730 14TH St SW
Suite 200
Loveland, CO 80537-6349
Phone (970) 663-0815
Hospital & facility affiliations
- Boulder Community Health
- Longs Peak Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50150 | CO | MD | Family Medicine Physician |
| 0050150 | CO | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Peak Family Practice, PC | Family Medicine | Current | Accepting new patients |
Locations
1309 Sunset St
Longmont, CO 80501
Phone (303) 772-5578
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Longmont, CO
- NPI 1477565380
Hospital & facility affiliations 35
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514332800000",
"number": "1104141670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 SUNSET ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013215",
"telephone_number": "303-772-5578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 SUNSET ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013215",
"telephone_number": "303-772-5578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAISTER",
"first_name": "ERIC",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-29",
"last_updated": "2017-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CO",
"license": "0050150",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "50150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.