NPIMap

Organization Active NPI

Rocky Mountain Medical Group, P.C.

  • Occupational Medicine Physician
  • Boulder, CO
National Provider Identifier
1497212112
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
ROCKY MOUNTAIN MEDICAL GROUP, P.C.
Practice address
4800 Baseline Rd Ste D106
Boulder, CO 80303-2643
Phone
(303) 499-4800
Fax
(303) 499-4892
NPI assigned
Feb 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Nathan Jensen
Title
VP of Finance
Phone
(303) 341-4730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

4800 Baseline Rd Ste D106
Boulder, CO 80303-2643

Mailing address

750 W Hampden Ave Ste 105
Englewood, CO 80110-2167
Phone (303) 341-4730

National Provider Directory

National Provider Directory
Tax ID family
Rocky Mountain Medical Group PC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1497212112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W HAMPDEN AVE STE 105",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102167",
            "telephone_number": "303-341-4730",
            "fax_number": "303-341-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 BASELINE RD STE D106",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032643",
            "telephone_number": "303-499-4800",
            "fax_number": "303-499-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "303-341-4730"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.