Active NPI
Scott E. Faulkner, M.D., PC
Doing business as Fort Morgan Internal Medicine
- Specialist
- Fort Morgan, CO
National Provider Identifier
1356447452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 39644
- Legal business name
- SCOTT E. FAULKNER, M.D., PC
- Doing business as
- Fort Morgan Internal Medicine
- Practice address
- 500 Main St
Fort Morgan, CO 80701-2130 - Phone
- (970) 542-0360
- Fax
- (970) 542-0366
- NPI assigned
- Sep 15, 2006
- Last updated
- Feb 14, 2012
- 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
- Dr. Scott E Faulkner, M.D.
- Title
- Owner
- Phone
- (970) 542-0360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 39644 | CO | Primary |
Addresses
Primary practice location
500 Main St
Fort Morgan, CO 80701-2130
Mailing address
PO Box 117
Fort Morgan, CO 80701-0117
Phone (970) 542-0360
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82506779 | Medicaid | CO | |
| 110235029 | Other | CO | RAILROAD MEDICARE |
Other names 1
- Fort Morgan Internal Medicine
National Provider Directory
National Provider DirectoryLocations
5835 Lehman Dr
Ste 100
Colorado Springs, CO 80918
Phone (719) 578-7705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329177600000",
"number": "1356447452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 117",
"city": "FORT MORGAN",
"state": "CO",
"postal_code": "807010117",
"telephone_number": "970-542-0360",
"fax_number": "970-542-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MAIN ST",
"city": "FORT MORGAN",
"state": "CO",
"postal_code": "807012130",
"telephone_number": "970-542-0360",
"fax_number": "970-542-0366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT E. FAULKNER, M.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2012-02-14",
"status": "A",
"authorized_official_last_name": "FAULKNER",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-542-0360",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CO",
"license": "39644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82506779",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110235029",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fort Morgan Internal Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Morgan, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.