Mountain Streams Medical Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

39735 Issued in CO

Legal business name

MOUNTAIN STREAMS MEDICAL CENTER PC

Practice address

2155 Hollow Brook Dr Ste 60
Colorado Springs, CO 80918-1455

Phone

(719) 536-4831

Fax

(719) 536-4814

NPI assigned

Dec 6, 2006

Last updated

Jun 2, 2020By 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. Scott B Woody, DONPI 1033117957

Title

President

Phone

(719) 321-6974

Specialties & licenses 1

Addresses

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.

• Scott Brian Woody, DO

  • Family Medicine Physician
  • Greenwood Village, CO
  • NPI 1033117957
  Medicare reassignment NPD Authorized official
• Timothy John Maly, MD

  • Family Medicine Physician
  • Berthoud, CO
  • NPI 1821096132
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1710046958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801040820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 HOLLOW BROOK DR STE 60",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181455",
            "telephone_number": "719-536-4831",
            "fax_number": "719-536-4814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8301 E Prentice Ave Ste 145",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112904",
            "country_code": "US",
            "telephone_number": "303-221-2125",
            "fax_number": "303-221-3215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAIN STREAMS MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-321-6974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Smiles Dentistry
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• Mountain States Pathology PC
• Mountain States Pathology PC
• Mountain States Pathology, PC
• Mountain View Chiropractic LLC
• Mountain View Home Care Inc. (Mountain View Home Care)
• Mountain View Medical Group, LLC (DaVita Medical Group)
• Mountain View Medical Group, LLC
• Mountain View Medical Group, PC (The Walking Clinic)

• Family Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, 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 Jun 2, 2020; 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.