Generations Primary Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GENERATIONS PRIMARY CARE, LLC

Practice address

44 E Spaulding Ave
Building 2, Suite 3
Pueblo West, CO 81007

Phone

(719) 281-1605

Fax

(719) 988-9677

NPI assigned

Nov 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Scott Davidson, MDNPI 1518950955

Title

Ceo

Phone

(719) 281-1605

Specialties & licenses 1

Addresses

Other names 1

• Generations Primary Care Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Michael Davidson, MD

  • Family Medicine Physician
  • Pueblo, CO
  • NPI 1518950955
  NPD Authorized official
• Mary Patten, BSN, RN, DNP, FNP

  • Family Nurse Practitioner
  • Pueblo West, CO
  • NPI 1962128025
  NPD

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1194590372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E SPAULDING AVE",
            "address_2": "BOX 6",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "81007",
            "telephone_number": "719-281-1605",
            "fax_number": "719-988-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E SPAULDING AVE",
            "address_2": "BUILDING 2, SUITE 3",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "81007",
            "telephone_number": "719-281-1605",
            "fax_number": "719-988-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-281-1605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generations Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristen Beth Fournier, M.A., C.A.S.
• Fresenius Medical Care Dialysis Services Colorado LLC
• Barbara Rae Frye
• John Paul Garcia, LPCC
• Jenny Lynn Garner, M.A. CCC-SLP
• Michael Stuart Goldman, PH.D.
• Nicholette Gonzales, PHARM D
• Shea K Greenlee
• Kim M Gregory, OTR
• Aaron M Griffin, PHARMD

• Family Medicine Physician in Pueblo West, CO
• Providers in Pueblo West, 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 Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.