NPIMap

Organization Active NPI

Jay M. Wolkov DO PC

Doing business as Gunnison Family Medical Center

  • Multi-Specialty Clinic/Center
  • Gunnison, CO
National Provider Identifier
1649368663
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
JAY M. WOLKOV DO PC
Doing business as
Gunnison Family Medical Center
Practice address
707 N Iowa St
Gunnison, CO 81230-2229
Phone
(970) 641-1771
Fax
(970) 641-9017
NPI assigned
Oct 11, 2006
Last updated
Apr 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Louise E. Anders
Title
Billing Coordinator
Phone
(970) 641-1399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

707 N Iowa St
Gunnison, CO 81230-2229

Mailing address

707 N Iowa St
Gunnison, CO 81230-2229
Phone (970) 641-1771

Other identifiers 1

IdentifierTypeStateIssuer
04808093MedicaidCO

Other names 1

  • Gunnison Family Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1649368663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N IOWA ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302229",
            "telephone_number": "970-641-1771",
            "fax_number": "970-641-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N IOWA ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302229",
            "telephone_number": "970-641-1771",
            "fax_number": "970-641-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY M. WOLKOV DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "970-641-1399"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04808093",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gunnison Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gunnison, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.