Organization Active NPI

Mesa Otolaryngology PC

  • Otolaryngology Physician
  • Grand Junction, CO
National Provider Identifier
1376835777
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
20189 Issued in CO
Legal business name
MESA OTOLARYNGOLOGY PC
Practice address
1212 Bookcliff Ave
Grand Junction, CO 81501-8162
Phone
(970) 245-3333
Fax
(970) 243-0414
NPI assigned
May 4, 2011
Last updated
Jun 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Dr. Richard Huffaker, D.O.NPI 1730190315
Title
President
Phone
(970) 245-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 20189 CO Primary

Addresses

Primary practice location

1212 Bookcliff Ave
Grand Junction, CO 81501-8162

Mailing address

1212 Bookcliff Ave
Grand Junction, CO 81501-8162
Phone (970) 245-3333

National Provider Directory

National Provider Directory

Locations

1212 Bookcliff Ave
Grand Junction, CO 81501
Phone (970) 245-0785

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1376835777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 BOOKCLIFF AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018162",
            "telephone_number": "970-245-3333",
            "fax_number": "970-243-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 BOOKCLIFF AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018162",
            "telephone_number": "970-245-3333",
            "fax_number": "970-243-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA OTOLARYNGOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "HUFFAKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-245-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "20189",
            "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 Jun 21, 2011; 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.