NPIMap

Organization Active NPI

Internal Medicine Associates of Grand Junction PC

  • Internal Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1699860874
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERNAL MEDICINE ASSOCIATES OF GRAND JUNCTION PC
Practice address
744 Horizon CT
Suite 301
Grand Junction, CO 81506-3921
Phone
(970) 243-3300
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Frederic B Walker IV, MD
Title
Treasurer
Phone
(970) 243-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

744 Horizon CT
Suite 301
Grand Junction, CO 81506-3921

Mailing address

744 Horizon CT
Suite 301
Grand Junction, CO 81506-3921
Phone (970) 243-3300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1699860874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 HORIZON CT",
            "address_2": "SUITE 301",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063921",
            "telephone_number": "970-243-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 HORIZON CT",
            "address_2": "SUITE 301",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063921",
            "telephone_number": "970-243-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF GRAND JUNCTION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "970-243-3300",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.