Stoney Mesa Family Practice Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

39111 Issued in CO

Legal business name

STONEY MESA FAMILY PRACTICE INC

Practice address

1722 Hillcrest Dr
Delta, CO 81416-2810

Phone

(970) 874-5061

Fax

(970) 874-5074

NPI assigned

Nov 19, 2007

Organization subpart

No

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

Authorized official

Name

Michelle Purvis, MDNPI 1871530113

Title

Physician/Owner

Phone

(970) 874-5061

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12615/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Michelle P Purvis, M.D.

  • Family Medicine Physician
  • Delta, CO
  • NPI 1871530113
  Medicare reassignment NPD Authorized official
• Debra Jo Hillyer, FNP-C/PA-C

  • Family Nurse Practitioner
  • Eckert, CO
  • NPI 1194925586
  NPD (past)

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1235310285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1129",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161129",
            "telephone_number": "970-874-2470",
            "fax_number": "970-874-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 HILLCREST DR",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162810",
            "telephone_number": "970-874-5061",
            "fax_number": "970-874-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEY MESA FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "970-874-5061",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83777865",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "ST802592",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl L Sperry
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• Kelsey Stark
• Veronica Lynn Stiles
• Natiana Frankie Stokes, LMT
• Amber Suckey
• Patricia Sullivan
• Deborah Ann Sunkel
• Leigh Anne Suppes
• Surface Creek Counseling LLC

• Family Medicine Physician in Delta, CO
• Providers in Delta, 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 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.