Rivergate Orthopedics and Animas Urology, PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

41391 Issued in CO

Legal business name

RIVERGATE ORTHOPEDICS AND ANIMAS UROLOGY, PC

Practice address

555 Rivergate Ste B1-106
Durango, CO 81301-7478

Phone

(970) 247-0508

NPI assigned

Jun 11, 2014

Last updated

Nov 26, 2014By 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. Mark Robert Forrest, M.D.NPI 1265469340

Title

Owner/Urologist

Phone

(970) 247-0508

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Mark Robert Forrest, MD

  • Urology Physician
  • Durango, CO
  • NPI 1265469340
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Forrest, MD

  • Orthopaedic Surgery Physician
  • Durango, CO
  • NPI 1750463774
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1629481254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 RIVERGATE STE B1-106",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017478",
            "telephone_number": "970-247-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 RIVERGATE STE B1-106",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017478",
            "telephone_number": "970-247-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERGATE ORTHOPEDICS AND ANIMAS UROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/UROLOGIST",
        "authorized_official_telephone_number": "970-247-0508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "41391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Alice Rios, PA-C
• Lara C Ristow, LCSW
• George Albert Ritcher, M.D.
• Ronald G Ritz, MD
• Rivergate Natural Healthcare
• Rivergate Physical Therapy, PC
• Rivers Edge Durango LLC (River's Edge Wellness Center)
• Christopher J Roach, M.D.
• Constance Roark, FNP
• Danika Roberts, LPN

• Urology Physician in Durango, CO
• Providers in Durango, CO by specialty
• Urology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.