Mountain Medical Specialists, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOUNTAIN MEDICAL SPECIALISTS, LLC

Practice address

595 Russell St
Craig, CO 81625-1920

Phone

(970) 826-0911

Fax

(970) 826-0910

NPI assigned

Jan 29, 2007

Last updated

Oct 8, 2007By 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

Dr. Pamela R Kinder, MD

Title

President Owner

Phone

(970) 826-0910

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191801600000",
    "number": "1184770307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1435",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816261435",
            "telephone_number": "970-826-0910",
            "fax_number": "970-826-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 RUSSELL ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816251920",
            "telephone_number": "970-826-0911",
            "fax_number": "970-826-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MEDICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-10-08",
        "status": "A",
        "authorized_official_last_name": "KINDER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "970-826-0910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04020434",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth Minor, PHARM.D.
• Moffat County Department of Social Services
• Moffat County School District
• Moffat Family Clinic, LLC
• Mountain Medical and Psychiatric Care
• Mountain Valley Anesthesia
• Gerald I Myers, M.D.
• Wendy Ann Nadolny, L.C.S.W.
• Natural Health Care Center LLC
• Natasha Marie Nielson

• Family Medicine Physician in Craig, CO
• Providers in Craig, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.