Organization Active NPI

Pike's Peak Orthopedics Prof. , LLC

  • Orthopaedic Surgery Physician
  • Woodland Park, CO
National Provider Identifier
1205016698
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
36776 Issued in CO
Legal business name
PIKE'S PEAK ORTHOPEDICS PROF. , LLC
Practice address
333 North West St
Woodland Park, CO 80863-0208
Phone
(719) 686-2820
Fax
(719) 686-2830
NPI assigned
Nov 14, 2007
Last updated
Oct 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Michael G Messner, DONPI 1770578692
Title
Owner Physician
Phone
(719) 686-2820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 36776 CO Primary

Addresses

Primary practice location

333 North West St
Woodland Park, CO 80863-0208

Mailing address

PO Box 7536
Woodland Park, CO 80863-0208
Phone (719) 686-2820

Other identifiers 1

IdentifierTypeStateIssuer
67250823MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040914001386 CO Part B Supplier - Clinic/Group Practice 7719954189 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Park, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1205016698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7536",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808630208",
            "telephone_number": "719-686-2820",
            "fax_number": "719-686-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NORTH WEST ST",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808630208",
            "telephone_number": "719-686-2820",
            "fax_number": "719-686-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE'S PEAK ORTHOPEDICS PROF. , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "MESSNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "719-686-2820",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "36776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67250823",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.