Salida Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SALIDA DERMATOLOGY LLC

Practice address

234 N Main St Ste B
Gunnison, CO 81230-2438

Phone

(970) 641-1456

NPI assigned

Mar 4, 2024

Last updated

Mar 4, 2024By 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

Jeffrey Queen

Title

Authorized Official

Phone

(561) 314-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1184481434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-314-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 N MAIN ST STE B",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302438",
            "telephone_number": "970-641-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIDA DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "QUEEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-314-2000"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Rogers, MS, EDS, MSN, PMHNP
• Georgina Sandibel Rosas Bustamante
• Brenda G. Ryan, RN
• Erin Kathleen Ryan, LPC
• Jared R. Sahagun
• Jaime Sanchez
• Amy M Sandusky, PA
• John Brian Schmidt, DDS
• Allison Virginia Schultheis, M.A,
• Amy Lynn Schwartz, O.D.

• Dermatology Physician in Gunnison, CO
• Providers in Gunnison, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.