NPIMap

Organization Active NPI

Aspen Clinic Internal Medicine Associates

  • Specialist
  • Aspen, CO
National Provider Identifier
1679776777
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ASPEN CLINIC INTERNAL MEDICINE ASSOCIATES
Practice address
400 West Main Suite 100
Aspen, CO 81611
Phone
(970) 544-1131
Fax
(844) 384-5032
NPI assigned
Jun 6, 2007
Last updated
Oct 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Susan M. Zimet, MDNPI 1063418242
Title
Co-President
Phone
(970) 544-1131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

400 West Main Suite 100
Aspen, CO 81611

Mailing address

400 West Main Suite 100
Aspen, CO 81611
Phone (970) 544-1131

Other identifiers 3

IdentifierTypeStateIssuer
01194877MedicaidCO
01183839MedicaidCO
01308642MedicaidCO

National Provider Directory

National Provider Directory

Locations

400 W Main St
Ste 100
Aspen, CO 81611
Phone (970) 544-0500

600 E Main St
Ste 103
Aspen, CO 81611
Phone (970) 544-1131

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22156/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1679776777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WEST MAIN SUITE 100",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "81611",
            "telephone_number": "970-544-1131",
            "fax_number": "844-384-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST MAIN SUITE 100",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "81611",
            "telephone_number": "970-544-1131",
            "fax_number": "844-384-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN CLINIC INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "ZIMET",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "970-544-1131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01194877",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01183839",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01308642",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.