Organization Active NPI

Rebecca Tolby MD PC

  • Internal Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1154370922
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
REBECCA TOLBY MD PC
Practice address
715 Horizon Dr
Suite 200
Grand Junction, CO 81506-8700
Phone
(970) 241-7484
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Rebecca Tolby, M.D.
Title
Owner
Phone
(970) 241-7484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X CO Primary

Addresses

Primary practice location

715 Horizon Dr
Suite 200
Grand Junction, CO 81506-8700

Mailing address

715 Horizon Dr
Suite 200
Grand Junction, CO 81506-8700
Phone (970) 241-7484

Other identifiers 1

IdentifierTypeStateIssuer
59058820MedicaidCO

National Provider Directory

National Provider Directory

Locations

3464 S Willow St
Ste 715
Denver, CO 80231

715 Horizon Dr
Ste 200
Grand Junction, CO 81506
Phone (801) 264-4444

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1154370922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HORIZON DR",
            "address_2": "SUITE 200",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068700",
            "telephone_number": "970-241-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 HORIZON DR",
            "address_2": "SUITE 200",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068700",
            "telephone_number": "970-241-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA TOLBY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "TOLBY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-241-7484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59058820",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.