Organization Active NPI

Yampa Valley OB GYN PC

  • Obstetrics & Gynecology Physician
  • Steamboat Springs, CO
National Provider Identifier
1306937644
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
YAMPA VALLEY OB GYN PC
Practice address
1600 Pine Grove Road
Suite 100
Steamboat Springs, CO 80487-4187
Phone
(970) 879-8533
Fax
(970) 879-8532
NPI assigned
Sep 28, 2006
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Lynn Hooper, MANAGER
Title
Manager
Phone
(303) 586-9390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1600 Pine Grove Road
Suite 100
Steamboat Springs, CO 80487-4187

Mailing address

1600 Pine Grove Road
Suite 100
Steamboat Springs, CO 80487-4187
Phone (970) 879-8533

Other identifiers 1

IdentifierTypeStateIssuer
04017943MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040923001246 CO Part B Supplier - Clinic/Group Practice 8729056932 Receives reassigned benefits from 1 practitioner
Practice locations: Craig, CO; Steamboat Springs, CO

National Provider Directory

National Provider Directory

Locations

1600 Pine Grove Rd
Ste 100
Steamboat Springs, CO 80487
Phone (970) 879-8533

2751 Commercial Way
Rock Springs, WY 82901
Phone (307) 382-6199

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1306937644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PINE GROVE ROAD",
            "address_2": "SUITE 100",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804874187",
            "telephone_number": "970-879-8533",
            "fax_number": "970-879-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PINE GROVE ROAD",
            "address_2": "SUITE 100",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804874187",
            "telephone_number": "970-879-8533",
            "fax_number": "970-879-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAMPA VALLEY OB GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-586-9390",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04017943",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.