James C Pruitt, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22652 Issued in CO

Practice address

75 S Pagosa Blvd
Pagosa Springs, CO 81147-7910

Phone

(970) 431-4131

NPI assigned

Jul 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/7771e67c-eed3-4c07-8b39-4ee1de7dfb76/

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.

• Pagosa Springs Family Medical Center

  • Specialist
  • Pagosa Springs, CO
  • NPI 1235174392
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1588697361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7638",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370638",
            "telephone_number": "970-749-2755",
            "fax_number": "970-259-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S PAGOSA BLVD",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811477910",
            "telephone_number": "970-431-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "22652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM BCBS",
            "identifier": "NM01Y342",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PRP07018",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01226521",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO DME",
            "identifier": "6003610001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pine Ridge Rehabilitation and Healthcare Center LLC
• Pine Ridge Rehabilitation and Healthcare Center LLC
• Barbara Piromalli, D.O.
• Beverly Planeta, RN
• Braxton M Ponder, L.AC.
• Martha Pyatt
• Allison Qualls, COTA
• R D Parker Associates Inc
• Kelly L Ralston, PHARMACIST
• Kalie Ray, RM, CPM

• Family Medicine Physician in Pagosa Springs, CO
• Providers in Pagosa 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 Mar 9, 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.