Steamboat Orthopaedic Associates, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

STEAMBOAT ORTHOPAEDIC ASSOCIATES, P.C.

Practice address

940 Central Park Dr #190
Steamboat Springs, CO 80487-8816

Phone

(970) 879-4612

Fax

(970) 879-0583

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Moseley Walton, MBA

Title

Administrator & Cfo

Phone

(970) 879-4612

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1477576890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 CENTRAL PARK DR #190",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878816",
            "telephone_number": "970-879-4612",
            "fax_number": "970-879-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CENTRAL PARK DR #190",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878816",
            "telephone_number": "970-879-4612",
            "fax_number": "970-879-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEAMBOAT ORTHOPAEDIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MOSELEY",
        "authorized_official_title_or_position": "ADMINISTRATOR & CFO",
        "authorized_official_telephone_number": "970-879-4612",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04006383",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO BCBS",
            "identifier": "ST95908",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Steamboat Springs, CO
• Providers in Steamboat Springs, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.