OB/GYN Specialists of the Rocky Mountains, Prof LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

47511 Issued in CO

Legal business name

OB/GYN SPECIALISTS OF THE ROCKY MOUNTAINS, PROF LLC

Practice address

435 Park Avenue
Suite 2a
Breckenridge, CO 80424-7399

Phone

(970) 453-2320

Fax

(970) 453-6384

NPI assigned

Feb 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Candace Cooley, M.D.

Title

Manager

Phone

(850) 240-9898

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1326310236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PARK AVE UNIT 10B",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248963",
            "telephone_number": "970-453-2320",
            "fax_number": "970-453-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 PARK AVENUE",
            "address_2": "SUITE 2A",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804247399",
            "telephone_number": "970-453-2320",
            "fax_number": "970-453-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB/GYN SPECIALISTS OF THE ROCKY MOUNTAINS, PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-240-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "47511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Breckenridge, CO
• Providers in Breckenridge, CO by specialty
• Obstetrics & Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.