Larry D. Tice MD PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

LARRY D. TICE MD PC

Practice address

1120 Wellington Ave
Suite 206
Grand Junction, CO 81501-6129

Phone

(970) 241-8013

Fax

(970) 241-1308

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Larry D Tice, MD

Title

President

Phone

(970) 858-2603

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert H Fox, MD

  • Neurological Surgery Physician
  • Grand Junction, CO
  • NPI 1588677017
  NPD (past)
• Linda S. Stahl, FNP

  • Family Nurse Practitioner
  • Grand Junction, CO
  • NPI 1336122936
  NPD (past)
• Brian P Witwer, MD

  • Neurological Surgery Physician
  • Grand Junction, CO
  • NPI 1982698148
  NPD (past)

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1558663286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 KOKOPELLI BLVD",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815216305",
            "telephone_number": "970-858-2603",
            "fax_number": "970-858-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 WELLINGTON AVE",
            "address_2": "SUITE 206",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016129",
            "telephone_number": "970-241-8013",
            "fax_number": "970-241-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY D. TICE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "TICE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-858-2603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Lara
• Jonathan Jeffrey Larason, RN
• Larchwood Health and Rehab LLC
• Larchwood Inns Inc
• Larkspur Anesthesia, LLC
• Brielle Elaine Larsen, R.N.
• David W Larsen, DMD
• Brooke Larson, PMHNP
• Connor Larson
• Danyelle Larson

• Neurological Surgery Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Neurological Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.