Southwest Retina Consultants PC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

0056814 Issued in CO

Legal business name

SOUTHWEST RETINA CONSULTANTS PC

Practice address

270 E 8TH Ave Ste N-101
Durango, CO 81301-5743

Phone

(970) 828-2200

Fax

(970) 828-2201

NPI assigned

Jan 21, 2014

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer N Batchelor

Title

Practice Administrator

Phone

(970) 828-2200

Specialties & licenses 8

Addresses

Locations

Interoperability endpoints

• Direct secure messaging: bbaxter@swrc.intellechartdirect.net
• Direct secure messaging: cclarke@swrc.intellechartdirect.net
• Direct secure messaging: ikirste@swrc.intellechartdirect.net

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Southwest Retina Research Center, LLC

  dba Southwest Retina Research Center

  • Retina Specialist (Ophthalmology) Physician
  • Durango, CO
  • NPI 1962995787
  NPPES parent name

Practitioners 4

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.

• Brian D Baxter, O.D.

  • Optometrist
  • Durango, CO
  • NPI 1831126697
  NPD
• Cameron Levi Clarke, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Durango, CO
  • NPI 1952894966
  NPD
• Ian Thorsten Kirste, O.D.

  • Optometrist
  • Aztec, NM
  • NPI 1770546657
  NPD
• Scott D Allen, MD

  • Ophthalmology Physician
  • Farmington, NM
  • NPI 1275590754
  NPD (past)

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1346663721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E 8TH AVE STE N-101",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015743",
            "telephone_number": "970-828-2200",
            "fax_number": "970-828-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E 8TH AVE STE N-101",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015743",
            "telephone_number": "970-828-2200",
            "fax_number": "970-828-2201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 E 30th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874018990",
            "country_code": "US",
            "telephone_number": "970-828-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHWEST RETINA CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BATCHELOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "970-828-2200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "0050343",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "0056814",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2012-0618",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2016-0574",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CO",
            "license": "0050343",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CO",
            "license": "0056814",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NM",
            "license": "MD2012-0618",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NM",
            "license": "MD2016-0574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patricia Ann Spak

• Retina Specialist (Ophthalmology) Physician in Durango, CO
• Providers in Durango, CO by specialty
• Retina Specialist (Ophthalmology) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.