NPIMap

Individual provider Active NPI

Eric Matthew Gochanour, MD

  • Gastroenterology Physician
  • Glenwood Springs, CO
National Provider Identifier
1306225396
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
DR.0071065 Issued in CO
Practice address
1830 Blake Ave Ste 207
Glenwood Springs, CO 81601-4261
Phone
(970) 384-7510
Fax
(970) 384-7511
NPI assigned
May 22, 2015
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X DR.0071065 CO Primary

Addresses

Primary practice location

1830 Blake Ave Ste 207
Glenwood Springs, CO 81601-4261

Mailing address

PO Box 2270
Glenwood Springs, CO 81602-2270
Phone (970) 384-7510

Other practice location 1

1124 Columbia St Ste 600
Seattle, WA 98104
Phone (206) 386-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816001178 CO Practitioner - Gastroenterology 1850680992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Rush Medical College of Rush University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, 205 clinicians

Practice addresses (Care Compare)

1830 Blake Ave
Suite 207
Glenwood Springs, CO 81601-4261
Phone (970) 384-7510

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy198
Upper gastrointestinal (GI) endoscopy for acid reflux193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N/ANCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association CurrentSince Jul 1, 2023 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince Jul 1, 2023 Accepting new patients
Valley View Hospital Association Past Accepting new patients

Locations

1830 Blake Ave
Ste 207
Glenwood Springs, CO 81601
Phone (602) 387-4035

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

Interoperability endpoints

  • Direct secure messaging: eric.gochanour.1@9028.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1306225396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2270",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816022270",
            "telephone_number": "970-384-7510",
            "fax_number": "970-384-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVE STE 207",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014261",
            "telephone_number": "970-384-7510",
            "fax_number": "970-384-7511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 Columbia St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98104",
            "country_code": "US",
            "telephone_number": "206-386-3660",
            "fax_number": "206-386-3644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOCHANOUR",
        "first_name": "ERIC",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR.0071065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.