Woodland Urgent Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

43176 Issued in CO

Legal business name

WOODLAND URGENT CARE, LLC

Practice address

16222 W US Highway 24
Suite 200
Woodland Park, CO 80863-8762

Phone

(719) 686-2801

Fax

(719) 686-2809

NPI assigned

Aug 12, 2011

Last updated

Sep 15, 2011By 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

Matthew C Young, MD

Title

Partner/Physician

Phone

(719) 686-2801

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1679852321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16222 W US HIGHWAY 24",
            "address_2": "SUITE 200",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638762",
            "telephone_number": "719-686-2801",
            "fax_number": "719-686-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16222 W US HIGHWAY 24",
            "address_2": "SUITE 200",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638762",
            "telephone_number": "719-686-2801",
            "fax_number": "719-686-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER/PHYSICIAN",
        "authorized_official_telephone_number": "719-686-2801",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "43176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "810093",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41134711",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woodland Park Family Medicine
• Woodland Park Family Medicine, LLC
• Woodland Park Pediatric Dentistry
• Woodland Park School District Re2
• Woodland Park Surgical Associates, P.C.
• Wpo, PLLC
• Muthanna Yacoub, M.D.
• Robert Perry Yardumian, DMD
• Jerilyn L Yingling, LPC, RPT
• Susan Zumergrad, FNP

• Family Medicine Physician in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.