Mountain View Medical Group, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOUNTAIN VIEW MEDICAL GROUP, LLC

Doing business as

DaVita Medical Group

Practice address

5014 El Camino Dr
Colorado Springs, CO 80918-2104

Phone

(719) 635-7700

Fax

(719) 635-1794

NPI assigned

Jan 18, 2017

Last updated

Jan 18, 2017By 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

Bruce Minear

Title

Chief Executive Officer

Phone

(719) 590-1177

Specialties & licenses 1

Addresses

Other names 1

• DaVita Medical Group Doing business as

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Mountain View Medical Group, LLC

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1528510302

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1457897159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 TECH CENTER DR",
            "address_2": "STE. 106",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5014 EL CAMINO DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182104",
            "telephone_number": "719-635-7700",
            "fax_number": "719-635-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "MINEAR",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "719-590-1177"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DaVita Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mountain States Pathology PC
• Mountain States Pathology, PC
• Mountain Streams Medical Center PC
• Mountain View Chiropractic LLC
• Mountain View Home Care Inc. (Mountain View Home Care)
• Mountain View Medical Group, LLC
• Mountain View Medical Group, PC (The Walking Clinic)
• Mountain View Medical Group, PC
• Mountain View OBGYN
• Mountain View Pain Specialists

• Durable Medical Equipment & Medical Supplies in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.