Individual provider Active NPI

Harry H Payton, D.O

  • Otolaryngology/Facial Plastic Surgery Physician
  • Salida, CO
National Provider Identifier
1568450542
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
DR.0048772 Issued in CO
Practice address
920 Rush Dr
Salida, CO 81201-9669
Phone
(719) 539-9300
Fax
(719) 539-9333
NPI assigned
Oct 12, 2005
Last updated
Aug 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X DR.0048772 CO Primary

Addresses

Primary practice location

920 Rush Dr
Salida, CO 81201-9669

Mailing address

920 Rush Dr
Salida, CO 81201-9669
Phone (719) 539-9300

Other identifiers 5

IdentifierTypeStateIssuer
E16975OtherMEHARVARD PILGRIM
AX5099OtherMEMEDICARE PTAN GRP 152556
HX1692OtherMEMEDICARE PTAN GRP MM8648
002298OtherMEANTHEM
1044199OtherMEAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salida Hospital District CurrentSince Jul 20, 2021 Accepting new patients
Salida Hospital District CurrentSince Jul 20, 2021 Accepting new patients
Salida Hospital District Current Accepting new patients
Salida Hospital District Current Accepting new patients

Locations

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

920 Rush Dr
Salida, CO 81201
Phone (719) 539-7387

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1568450542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 RUSH DR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019669",
            "telephone_number": "719-539-9300",
            "fax_number": "719-539-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 RUSH DR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019669",
            "telephone_number": "719-539-9300",
            "fax_number": "719-539-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYTON",
        "first_name": "HARRY",
        "middle_name": "H",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CO",
            "license": "DR.0048772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "E16975",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN GRP 152556",
            "identifier": "AX5099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN GRP MM8648",
            "identifier": "HX1692",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "002298",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1044199",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.