Mountain Medical Center of Breckenridge, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

26641 Issued in CO

Legal business name

MOUNTAIN MEDICAL CENTER OF BRECKENRIDGE, PC

Practice address

1790 Airport Road
Unit 2
Breckenridge, CO 80424-8539

Phone

(970) 453-7600

Fax

(970) 453-7688

NPI assigned

Oct 11, 2007

Last updated

Dec 31, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shari J Fitzgerald, MDNPI 1871517193

Title

President

Phone

(970) 453-7600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shari J. Fitzgerald, M.D.

  • Family Medicine Physician
  • Breckenridge, CO
  • NPI 1871517193
  NPD (past) Authorized official

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1619165958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8539",
            "address_2": "1790 B AIRPORT RD",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248539",
            "telephone_number": "970-453-7600",
            "fax_number": "970-453-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 AIRPORT ROAD",
            "address_2": "UNIT 2",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248539",
            "telephone_number": "970-453-7600",
            "fax_number": "970-453-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MEDICAL CENTER OF BRECKENRIDGE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-453-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "26641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Charles Meister, D.D.S.
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• Timothy Patrick Nary, DDS
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• Kristen Marie O'Connor, SLP

• Primary Care Clinic/Center in Breckenridge, CO
• Providers in Breckenridge, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.