Organization Active NPI

Scott E. Faulkner, M.D., PC

Doing business as Fort Morgan Internal Medicine

  • Specialist
  • Fort Morgan, CO
National Provider Identifier
1356447452
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
39644 Issued in CO
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
82506779MedicaidCO
110235029OtherCORAILROAD MEDICARE

Other names 1

  • Fort Morgan Internal Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.