Mountainoccupationalmedicine LLC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

21414 Issued in CO

Legal business name

MOUNTAINOCCUPATIONALMEDICINE LLC

Practice address

4045 Wadsworth Blvd
Suite #311
Wheat Ridge, CO 80033-4642

Phone

(303) 877-6113

Fax

(303) 425-1661

NPI assigned

Jun 7, 2010

Last updated

Jun 7, 2010By 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

Dr. Caroline Margaret Gellrick, M.D.

Title

Physician

Phone

(303) 877-6113

Specialties & licenses 2

Addresses

Practitioners 1

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.

• John Buford Woodward III, MD

  • Neurology Physician
  • Wheat Ridge, CO
  • NPI 1023034071
  NPD (past)

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1699095190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 OLYMPIA CIR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804398800",
            "telephone_number": "303-877-6113",
            "fax_number": "303-986-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 WADSWORTH BLVD",
            "address_2": "SUITE #311",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334642",
            "telephone_number": "303-877-6113",
            "fax_number": "303-425-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINOCCUPATIONALMEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "GELLRICK",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "303-877-6113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CO",
            "license": "21414",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CO",
            "license": "21414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Radiation Oncology
• Mountain States Hand and Physical Therapy, Inc
• Mountain States Hand and Physical Therapy, Inc (Mountain States Speech Therapy, Inc.)
• Mountain States Hand and Physical Therapy, Inc.
• Mountain View Optical LLC
• Moving Points Acupuncture
• Nelson Mozia, MD
• Mt Acquisiitons, LLC (Mountains Taxi)
• Michelle Lynn Mudge-Davis, BS
• Kyle William Mueller, DNP, APRN, A-GNP-C

• Occupational Medicine Clinic/Center in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Occupational Medicine Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.