Pediatric Associates of Durango, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

42100 Issued in CO

Legal business name

PEDIATRIC ASSOCIATES OF DURANGO, INC

Practice address

29423 Highway 160
Durango, CO 81301-7939

Phone

(970) 259-7337

Fax

(970) 259-7366

NPI assigned

Dec 14, 2007

Last updated

Jan 17, 2025By 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

Stacy Bower

Title

President

Phone

(970) 259-7337

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Lauren Alexandra Laqua, CPNP-PC

  • Pediatrics Physician
  • Durango, CO
  • NPI 1023602737
  NPD (past)
• Arthur M Zemach, MD

  • Pediatrics Physician
  • Durango, CO
  • NPI 1407971880
  NPD (past)
• Olivia Holmes, PNP

  • Pediatric Nurse Practitioner
  • Meridian, ID
  • NPI 1841770674
  NPD (past)

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1679756431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29423 HIGHWAY 160",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017939",
            "telephone_number": "970-259-7337",
            "fax_number": "970-259-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29423 HIGHWAY 160",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017939",
            "telephone_number": "970-259-7337",
            "fax_number": "970-259-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF DURANGO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-259-7337"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "42100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak to Peak Counseling Services
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• Peaks & Valleys Counseling LLC
• Lorraine Burson Pearson, APN
• Jane C Pedersen, LCSW
• Pediatric Partners of the Southwest
• Pediatric Partners of the Southwest
• Pediatric Partners of the Southwest P.C.
• Sharon Dianne Pellegrom
• Pencechiropractic

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.