NPIMap

Organization Active NPI

Chayjay LLC

  • Emergency Medicine Physician
  • Montrose, CO
National Provider Identifier
1720310550
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
CHAYJAY LLC
Practice address
836 S Townsend Ave Ste C
Montrose, CO 81401-4360
Phone
(970) 249-2118
Fax
(970) 249-2187
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Terry S Wade, DO
Title
Physician
Phone
(970) 249-2118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

836 S Townsend Ave Ste C
Montrose, CO 81401-4360

Mailing address

836 S Townsend Ave, Unit C
Montrose, CO 81413
Phone (970) 249-2118

Other identifiers 1

IdentifierTypeStateIssuer
78884284MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1720310550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 S TOWNSEND AVE, UNIT C",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "81413",
            "telephone_number": "970-249-2118",
            "fax_number": "970-249-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 S TOWNSEND AVE STE C",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014360",
            "telephone_number": "970-249-2118",
            "fax_number": "970-249-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAYJAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "970-249-2118",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78884284",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.