NPIMap

Organization Active NPI

Grand Valley Ocular Anesthesia

  • Anesthesiology Physician
  • Grand Junction, CO
National Provider Identifier
1356896658
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
38177 Issued in CO
Legal business name
GRAND VALLEY OCULAR ANESTHESIA
Practice address
1000 Wellington Ave
Grand Junction, CO 81501-8180
Phone
(970) 254-1686
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Nell Martin
Title
Credentialing
Phone
(970) 254-1686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 38177 CO Primary

Addresses

Primary practice location

1000 Wellington Ave
Grand Junction, CO 81501-8180

Mailing address

2754 Compass Dr
Ste 170
Grand Junction, CO 81506-8714
Phone (970) 254-1686

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1356896658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 COMPASS DR",
            "address_2": "STE 170",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068714",
            "telephone_number": "970-254-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WELLINGTON AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018180",
            "telephone_number": "970-254-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VALLEY OCULAR ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "NELL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "970-254-1686"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "38177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.