Organization Active NPI

Vail Infectious Disease, P.C.

  • Infectious Disease Physician
  • Edwards, CO
National Provider Identifier
1114025673
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
15659 Issued in CO
Legal business name
VAIL INFECTIOUS DISEASE, P.C.
Practice address
1140 Edwards Village Blvd
Suite B105
Edwards, CO 81658
Phone
(970) 390-6631
Fax
(303) 750-8000
NPI assigned
Sep 20, 2006
Last updated
Jan 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Donald H. Kearns, M.D.
Title
President
Phone
(303) 750-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 15659 CO Primary

Addresses

Primary practice location

1140 Edwards Village Blvd
Suite B105
Edwards, CO 81658

Mailing address

1550 S Potomac St
# 270
Aurora, CO 80012-5455
Phone (303) 750-1800

National Provider Directory

National Provider Directory

Locations

12 Vail Rd
Ste 300
Vail, CO 81657
Phone (970) 476-4676

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1114025673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST",
            "address_2": "# 270",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125455",
            "telephone_number": "303-750-1800",
            "fax_number": "303-750-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EDWARDS VILLAGE BLVD",
            "address_2": "SUITE B105",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81658",
            "telephone_number": "970-390-6631",
            "fax_number": "303-750-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL INFECTIOUS DISEASE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "KEARNS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-750-1800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CO",
            "license": "15659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.