NPIMap

Organization Active NPI

Aspen Club International LLC

Doing business as Aspen Club Sports Medicine Insitute

  • Specialist
  • Aspen, CO
National Provider Identifier
1174726111
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C003265 Issued in CO
Legal business name
ASPEN CLUB INTERNATIONAL LLC
Doing business as
Aspen Club Sports Medicine Insitute
Practice address
1450 Crystal Lake Rd
Sports Medicine
Aspen, CO 81611-2255
Phone
(970) 925-8940
Fax
(970) 925-9543
NPI assigned
Jun 7, 2007
Last updated
Oct 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Mr. Michael D Fox
Title
Ceo
Phone
(970) 925-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C003265 CO Primary

Addresses

Primary practice location

1450 Crystal Lake Rd
Sports Medicine
Aspen, CO 81611-2255

Mailing address

1450 Crystal Lake Rd
Sports Medicine
Aspen, CO 81611-2255
Phone (970) 925-8940

Other names 1

  • Aspen Club Sports Medicine Insitute Doing business as

National Provider Directory

National Provider Directory

Locations

430 W Main St
Aspen, CO 81611
Phone (970) 920-7546

Practitioners & affiliated clinicians

Practitioners 6

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1174726111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CRYSTAL LAKE RD",
            "address_2": "SPORTS MEDICINE",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816112255",
            "telephone_number": "970-925-8940",
            "fax_number": "970-925-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CRYSTAL LAKE RD",
            "address_2": "SPORTS MEDICINE",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816112255",
            "telephone_number": "970-925-8940",
            "fax_number": "970-925-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN CLUB INTERNATIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-925-8900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "C003265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Club Sports Medicine Insitute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aspen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.