NPIMap

Organization Active NPI

Karen D Libsch MD PC

  • Family Medicine Physician
  • Cortez, CO
National Provider Identifier
1356429864
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41146 Issued in CO
Legal business name
KAREN D LIBSCH MD PC
Doing business as
Cortez Primary Care
Practice address
118 N Chestnut St
Cortez, CO 81321-3104
Phone
(970) 564-9777
Fax
(970) 564-8833
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shelley Jordan
Title
Office Manager
Phone
(970) 564-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 41146 CO Primary

Addresses

Primary practice location

118 N Chestnut St
Cortez, CO 81321-3104

Mailing address

PO Box 1297
Cortez, CO 81321-1297
Phone (970) 564-9777

Other identifiers 1

IdentifierTypeStateIssuer
72571322MedicaidCO

Other names 1

  • Cortez Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

118 N Chestnut St
Cortez, CO 81321
Phone (970) 564-9777

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356429864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1297",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813211297",
            "telephone_number": "970-564-9777",
            "fax_number": "970-564-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N CHESTNUT ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213104",
            "telephone_number": "970-564-9777",
            "fax_number": "970-564-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN D LIBSCH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-564-9777"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72571322",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cortez Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.