John F Wolz MD Prof LLC

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

AW424346 Issued in CO

Legal business name

JOHN F WOLZ MD PROF LLC

Doing business as

Colorado Emergency Surgery

Practice address

625 W Platte Ave
Fort Morgan, CO 80701-2669

Phone

(970) 867-4916

Fax

(970) 867-8659

NPI assigned

Aug 11, 2007

Last updated

Jul 17, 2008By 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

Mrs. Linda Jackson

Title

Office Manager

Phone

(970) 867-4916

Specialties & licenses 1

Addresses

Other names 1

• Colorado Emergency Surgery Doing business as

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1508058710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 799",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807010799",
            "telephone_number": "970-867-4916",
            "fax_number": "970-867-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W PLATTE AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012669",
            "telephone_number": "970-867-4916",
            "fax_number": "970-867-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F WOLZ MD PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-11",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-867-4916",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CO",
            "license": "AW424346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Emergency Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgical Critical Care Physician in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• Surgical Critical Care Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.