Mountain Medical Center of Buena Vista, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOUNTAIN MEDICAL CENTER OF BUENA VISTA, PC

Doing business as

Mountain Medical Center of Buena Vista, PC

Practice address

36 Oak Street
Buena Vista, CO 81211

Phone

(719) 395-8632

Fax

(719) 395-4971

NPI assigned

Oct 24, 2006

Last updated

May 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas E White, M.D.NPI 1427158815

Title

President

Phone

(719) 395-8632

Specialties & licenses 1

Addresses

Other names 1

• Mountain Medical Center of Buena Vista, PC Doing business as

Locations

Practitioners 4

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.

• Thomas Elwood White, M.D.

  • Family Medicine Physician
  • Buena Vista, CO
  • NPI 1427158815
  Authorized official Same address or phone
• Eric Nicholas Gibb, M.D.

  • Family Medicine Physician
  • Buena Vista, CO
  • NPI 1659466019
  NPD (past)
• Douglas C Johnson, M.D.

  • Gynecology Physician
  • Buena Vista, CO
  • NPI 1659453892
  NPD (past)
• John Ernest Cottle Jr., D.O.

  • Family Medicine Physician
  • Fort Bragg, CA
  • NPI 1447343116
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1386728640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812113129",
            "telephone_number": "719-395-8632",
            "fax_number": "719-395-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 OAK STREET",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "81211",
            "telephone_number": "719-395-8632",
            "fax_number": "719-395-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MEDICAL CENTER OF BUENA VISTA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-395-8632",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Medical Center of Buena Vista, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mental Health Counseling, PC
• Laura A. Metz, L.AC.
• MMP Inc (Headwaters Home Therapy)
• Georgia Moldrup
• Jeffrey David Moore, DPT
• Ryan Andrew Mueller, D.M.D.
• Linda Louise Mulka, M.D.
• Jennifer Marie Nebgen
• Leigh Kate Ochieng
• Janet D Ommen, MSN, FNP

• Family Medicine Physician in Buena Vista, CO
• Providers in Buena Vista, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.