Ronald M Razzore, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

32360 Issued in CO

Practice address

611 W Main St
Aspen, CO 81611

Phone

(970) 920-0067

Fax

(970) 920-0124

NPI assigned

May 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aspen Center for Cosmetic Medicine PC

  • Dermatology Physician
  • Aspen, CO
  • NPI 1417178963
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710193065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W MAIN ST",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "81611",
            "telephone_number": "970-920-0067",
            "fax_number": "970-920-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W MAIN ST",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "81611",
            "telephone_number": "970-920-0067",
            "fax_number": "970-920-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZZORE",
        "first_name": "RONALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "32360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Michelle Poss, NP-C
• Lisa Pranno, PT, DPT, GCS
• Robert Price
• Pyramid Performance, LLC
• Rebecca Noelle Huckaby Raphaelson, MA
• Recovery Resources
• Recovery Resources
• Timothy Garland Reed, MS PT
• Robert M Christensen DDS PC
• William James Rodman, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.