Mountain Surgical Associates PC, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA1741 Issued in CO

Legal business name

MOUNTAIN SURGICAL ASSOCIATES PC, LLC

Practice address

10 Town PLZ
Suite 81
Durango, CO 81301-5104

Phone

(970) 799-1840

Fax

(970) 385-4350

NPI assigned

Feb 11, 2009

Last updated

Feb 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marc Anthony VetriNPI 1316990914

Title

Managing Partner

Phone

(970) 799-1840

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Marc Anthony Vetri, PA-C

  • Surgical Physician Assistant
  • Durango, CO
  • NPI 1316990914
  NPD (past) Authorized official

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1134368392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TOWN PLZ",
            "address_2": "SUITE 81",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015104",
            "telephone_number": "970-799-1840",
            "fax_number": "970-385-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TOWN PLZ",
            "address_2": "SUITE 81",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015104",
            "telephone_number": "970-799-1840",
            "fax_number": "970-385-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SURGICAL ASSOCIATES PC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "VETRI",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "970-799-1840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA1741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO MEDICAL LICENSE",
            "identifier": "PA1741",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountain Mobile Physical Therapy PLLC
• Mountain Peace LLC
• Mountain Sports Chiropractic LLC
• Mountain States Pathology PC
• Mountain Summit Diagnostics, LLC
• Mountain Top Toxicology LLC
• Mountain View Family Healthcare PC
• Mohammad Reza Movahed Shariat Panahi, MD, PHD
• Alison Hillis Mowery, LCSW
• MPP Infusion Center of Durango, LLC

• Surgical Physician Assistant in Durango, CO
• Providers in Durango, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.