NPIMap

Individual provider Active NPI

Virginia Hrywnak, DO

  • Family Medicine Physician
  • Longmont, CO
National Provider Identifier
1487603338
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44331 Issued in CO
Practice address
1309 Sunset St
Longmont, CO 80501-3215
Phone
(303) 772-5578
Fax
(303) 772-5578
NPI assigned
May 9, 2006
Last updated
Apr 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44331 CO Primary

Addresses

Primary practice location

1309 Sunset St
Longmont, CO 80501-3215

Mailing address

1309 Sunset St
Longmont, CO 80501-3215
Phone (303) 772-5578

Other identifiers 1

IdentifierTypeStateIssuer
57800073MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061004000626 CO Practitioner - Family Practice 7911903554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ponderosa Family Physicians PCGroup PAC ID 1658261854, 8 clinicians

Practice addresses (Care Compare)

14991 E Hampden Ave
Suite 210
Aurora, CO 80014-3985
Phone (303) 690-4891

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ponderosa Family Physicians PC Family Medicine CurrentSince Jun 29, 2016 Accepting new patients
Medi Horizons Inc Family Medicine Past Accepting new patients
Healthful Living LLC Past Accepting new patients
University of Wyoming Family Medicine Past Accepting new patients

Locations

14991 E Hampden Ave
Ste 210
Aurora, CO 80014
Phone (303) 690-4891

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1487603338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 SUNSET ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013215",
            "telephone_number": "303-772-5578",
            "fax_number": "303-772-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 SUNSET ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013215",
            "telephone_number": "303-772-5578",
            "fax_number": "303-772-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRYWNAK",
        "first_name": "VIRGINIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "44331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57800073",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.