Western Slope Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR 0057738 Issued in CO

Legal business name

WESTERN SLOPE FAMILY MEDICINE, PLLC

Doing business as

Pavilion Family Medicine

Practice address

1804 E Pavilion PL
Montrose, CO 81401-5795

Phone

(970) 249-6770

NPI assigned

Feb 16, 2017

Last updated

Dec 13, 2017By 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

Miss Corenna Howard

Title

Practice Manager

Phone

(207) 315-1595

Specialties & licenses 1

Addresses

Other names 1

• Pavilion Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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.

• Deanna L Brown, FNP-C

  • Family Nurse Practitioner
  • Montrose, CO
  • NPI 1023898699
  Medicare reassignment Care Compare group NPD
• John Ribadeneyra, M.D.

  • Family Medicine Physician
  • Montrose, CO
  • NPI 1689897753
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1699214130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 E PAVILION PL",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015795",
            "telephone_number": "207-315-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 E PAVILION PL",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015795",
            "telephone_number": "970-249-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SLOPE FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CORENNA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "207-315-1595",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR 0057738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pavilion Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Watson
• Lynne Ashley Weaver
• West Slope Medical Services LLC-S
• Western Colorado Hearing Clinic
• Western Colorado Physical Therapy and Wellness LLC
• Western Slope Mens Health, LLC
• Western Slope Orthopaedics
• Western Slope Orthopaedics
• Western Slope Sleep Center LLC
• Deborah Lynne Westervelt, LCSW

• Family Medicine Physician in Montrose, CO
• Providers in Montrose, 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 Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.