Mountain View Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOUNTAIN VIEW MEDICAL GROUP, LLC

Practice address

5575 Tech Center Dr
Suite 106
Colorado Springs, CO 80919-2353

Phone

(719) 590-1177

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

COLORADO SPRINGS HEALTH PARTNERS ASC LLCAs reported in NPPES

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

Authorized official

Name

Bruce Minear

Title

Chief Executive Officer

Phone

(719) 590-1177

Specialties & licenses 9

Addresses

Part of

Optumcare Colorado ASC LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mountain View Medical Group, LLC

  dba DaVita Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
  • NPI 1457897159

  Member Of

  NPD member

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsey Meredith Diaz, PA-C

  • Physician Assistant
  • Colorado Springs, CO
  • NPI 1235389701
  NPD (past)
• Deborah M Kaufmann, PA-C

  • Physician Assistant
  • Colorado Springs, CO
  • NPI 1205813292
  NPD (past)
• Jami L Lamonica, PA-C

  • Medical Physician Assistant
  • Colorado Springs, CO
  • NPI 1124215884
  NPD (past)
• Kristy P Morman, PA

  • Physician Assistant
  • Colorado Springs, CO
  • NPI 1679084867
  NPD (past)
• Gayleen Rachele Prausa, PA-C

  • Medical Physician Assistant
  • Monument, CO
  • NPI 1528286192
  NPD (past)
• Katherine Michelle Stensland, MMS, PA-C

  • Medical Physician Assistant
  • Aurora, CO
  • NPI 1619369402
  NPD (past)
• Allison Scott, PA-C

  • Physician Assistant
  • Yukon, OK
  • NPI 1629347190
  NPD (past)

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1528510302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 TECH CENTER DR",
            "address_2": "SUITE 106",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192353",
            "telephone_number": "719-590-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 TECH CENTER DR",
            "address_2": "SUITE 106",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192353",
            "telephone_number": "719-590-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO SPRINGS HEALTH PARTNERS ASC LLC",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "MINEAR",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "719-590-1177"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain States Pathology, PC
• Mountain Streams Medical Center PC
• Mountain View Chiropractic LLC
• Mountain View Home Care Inc. (Mountain View Home Care)
• Mountain View Medical Group, LLC (DaVita Medical Group)
• Mountain View Medical Group, PC (The Walking Clinic)
• Mountain View Medical Group, PC
• Mountain View OBGYN
• Mountain View Pain Specialists
• Mountain View Recovery Center LLC

• Family Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.