Wellness Mountain Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WELLNESS MOUNTAIN MEDICINE

Practice address

615 Fairhurst St
Sterling, CO 80751-4523

Phone

(970) 522-0122

NPI assigned

Mar 3, 2022

Organization subpart

No

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

Authorized official

Name

Jamie Gray, MD

Title

President

Phone

(970) 401-0126

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1609523299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2134",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816322134",
            "telephone_number": "970-401-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FAIRHURST ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514523",
            "telephone_number": "970-522-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MOUNTAIN MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-401-0126",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart, Inc.
• Emily Walter
• Alyssa Ware
• Cynthia Margaret Warwick, PHARMD
• Gary Weber, D.D.S.
• Marta Louise Wells, LPC
• Wheeler Counseling, LLC
• Travis Wheeler, LPC
• Christina Wick
• Breton Keith Willson, MS, LPC

• All providers in Sterling, CO
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.