Active NPI
Michelle Hemingway, M.D.
- General Practice Physician
- Durango, CO
National Provider Identifier
1124175831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 49033
- Practice address
- 3710 Main Ave # 301
Durango, CO 81301-4033 - Phone
- (970) 844-5096
- Fax
- (970) 422-8019
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 49033 | CO | Primary |
Addresses
Primary practice location
3710 Main Ave # 301
Durango, CO 81301-4033
Mailing address
60 Morning Glory Ave
Durango, CO 81303-8189
Phone (413) 212-1869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241560 | Medicaid | CO |
Other names 1
- Michelle Maffeo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 21, 2015 through Jul 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David M Grygier MD LLC | Past | Accepting new patients |
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.
-
- Physical Medicine & Rehabilitation Physician
- Pittsfield, MA
- NPI 1144415456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614470400000",
"number": "1124175831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MORNING GLORY AVE",
"city": "DURANGO",
"state": "CO",
"postal_code": "813038189",
"telephone_number": "413-212-1869",
"fax_number": "970-422-8019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 MAIN AVE # 301",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014033",
"telephone_number": "970-844-5096",
"fax_number": "970-422-8019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMINGWAY",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2021-02-28",
"certification_date": "2021-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CO",
"license": "49033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241560",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "MAFFEO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.