Ryan Naffziger, M.D., P.C.

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

47396 Issued in CO

Legal business name

RYAN NAFFZIGER, M.D., P.C.

Practice address

175 Mercado St
Ste 111
Durango, CO 81301-7318

Phone

(970) 828-1199

Fax

(970) 828-1194

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Ryan T. Naffziger, M.D.NPI 1780776849

Title

Owner

Phone

(970) 828-1199

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Animas Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan T. Naffziger, M.D.

  • Plastic Surgery Physician
  • Durango, CO
  • NPI 1780776849

  Surgery of the Hand

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1437359239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MERCADO ST",
            "address_2": "STE 111",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017318",
            "telephone_number": "970-828-1199",
            "fax_number": "970-828-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MERCADO ST",
            "address_2": "STE 111",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017318",
            "telephone_number": "970-828-1199",
            "fax_number": "970-828-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN NAFFZIGER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "NAFFZIGER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-828-1199",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NM",
            "license": "MD2004-0117",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CO",
            "license": "47396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22552073",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41752082",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Animas Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgery of the Hand (Plastic Surgery) Physician in Durango, CO
• Providers in Durango, CO by specialty
• Surgery of the Hand (Plastic Surgery) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.