Active NPI
Yampa Valley OB GYN PC
- Obstetrics & Gynecology Physician
- Steamboat Springs, CO
National Provider Identifier
1306937644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04017943 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.