Individual provider Active NPI

John S Tarr Jr., MD

  • Family Medicine Physician
  • Gunnison, CO
National Provider Identifier
1538127584
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16817 Issued in CO
Practice address
130 E Virginia Ave
Gunnison, CO 81230-2246
Phone
(970) 641-0211
Fax
(970) 641-1268
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 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 16817 CO Primary

Addresses

Primary practice location

130 E Virginia Ave
Gunnison, CO 81230-2246

Mailing address

130 E Virginia Ave
Gunnison, CO 81230-2246
Phone (970) 641-0211

Other identifiers 2

IdentifierTypeStateIssuer
01168178MedicaidCO
TA89528OtherCOBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919004135 CO Practitioner - Family Practice 9335236959 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16817COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Gunnison CurrentSince Aug 1, 2023 Accepting new patients
Gunnison Valley Hospital Past Accepting new patients

Locations

220 N Spruce St
Gunnison, CO 81230
Phone (970) 641-0219

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1538127584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E VIRGINIA AVE",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302246",
            "telephone_number": "970-641-0211",
            "fax_number": "970-641-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E VIRGINIA AVE",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302246",
            "telephone_number": "970-641-0211",
            "fax_number": "970-641-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARR",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "16817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01168178",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "TA89528",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

Verify at the official NPI Registry.