Mountaintop Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

06220576 Issued in CO

Legal business name

MOUNTAINTOP DERMATOLOGY, PLLC

Practice address

2465 Research Pkwy
Suite 200
Colorado Springs, CO 80920-1089

Phone

(719) 265-0100

NPI assigned

Jul 31, 2012

Organization subpart

No

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

Authorized official

Name

Susie J Garrett

Title

Practice Manager

Phone

(719) 265-0100

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 2

• Frank M Samarin, MD Other name
• Frank M. Samarin Other name

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.

• Frank Mark Samarin, M.D.

  • Dermatology Physician
  • Colorado Springs, CO
  • NPI 1629037395
  Medicare reassignment NPD
• Lauren Wilson Love, MD

  • Dermatology Physician
  • Centennial, CO
  • NPI 1700379047
  NPD

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1699021386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 RESEARCH PKWY",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201089",
            "telephone_number": "719-265-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 RESEARCH PKWY",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201089",
            "telephone_number": "719-265-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINTOP DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "719-265-0100"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CO",
            "license": "06220576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699021386",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "COA108836",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06220576",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73232831",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "COA108837",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629037395",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frank M Samarin, MD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Frank M. Samarin",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Frank M. Samarin",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mountain View Recovery Center LLC
• Mountain View Vision, PC (Mountain View Vision)
• Mountaineer Counseling and Consulting, LLC
• Mountainlife LLC (FirstLight Home Care, Colorado Springs West)
• Mountains and Valleys Counseling, PLLC
• Mountainview Mindcare LLC (MountainView MindCare)
• Luke Mounts, MFT INTERN
• Lindsey Mourn-Dispoto
• Cambria Mourn
• Sepehr Mousakhani

• Dermatology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.