Active NPI
Mountain Peaks Urology PC
- Urology Physician
- Canon City, CO
National Provider Identifier
1467649756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- MOUNTAIN PEAKS UROLOGY PC
- Practice address
- 502 Greenwood Ave
Canon City, CO 81212-3336 - Phone
- (719) 275-2000
- Fax
- (719) 275-3145
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher T. Harrigan, M.D.
- Title
- President
- Phone
- (719) 275-2000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
502 Greenwood Ave
Canon City, CO 81212-3336
Mailing address
502 Greenwood Ave
Canon City, CO 81212-3336
Phone (719) 275-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92677029 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D1020192 | Mountain Peaks Urology, PC | Provider-performed microscopy | Jun 10, 2028 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://app.meldrx.com/api/fhir/uc05404_mountainpeaksurology
- christopherharrigan@mpu.medalliesdirect.net
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Canon City, CO
- NPI 1689753865
-
- Anatomic Pathology & Clinical Pathology Physician
- Pueblo, CO
- NPI 1710942396
-
- Anatomic Pathology & Clinical Pathology Physician
- Pueblo, CO
- NPI 1568426948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196985600000",
"number": "1467649756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 GREENWOOD AVE",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812123336",
"telephone_number": "719-275-2000",
"fax_number": "719-275-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 GREENWOOD AVE",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812123336",
"telephone_number": "719-275-2000",
"fax_number": "719-275-3145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN PEAKS UROLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2007-12-07",
"status": "A",
"authorized_official_last_name": "HARRIGAN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "719-275-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "92677029",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.