Active NPI
Sierra Vista Pathology
- Specialist
- Alamosa, CO
National Provider Identifier
1114965100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SIERRA VISTA PATHOLOGY
- Practice address
- 106 Blanca Ave
Alamosa, CO 81101-2340 - Phone
- (877) 662-4044
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kendall C Knaus, MD
- Title
- Medical Director
- Phone
- (800) 462-0975
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
106 Blanca Ave
Alamosa, CO 81101-2340
Mailing address
PO Box 7065
Loveland, CO 80537-0065
Phone (970) 663-2742
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220008934 | Other | CO | RAILROAD MEDICARE |
| 01731866 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Alamosa, CO
- NPI 1295731842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333411200000",
"number": "1114965100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7065",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805370065",
"telephone_number": "970-663-2742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 BLANCA AVE",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012340",
"telephone_number": "877-662-4044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIERRA VISTA PATHOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2012-04-03",
"status": "A",
"authorized_official_last_name": "KNAUS",
"authorized_official_first_name": "KENDALL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "800-462-0975",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220008934",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01731866",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.