Individual provider Active NPI

Michael M Trowbridge, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Grand Junction, CO
National Provider Identifier
1740275692
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
29430 Issued in CO
Practice address
2643 Patterson Rd
Suite 503
Grand Junction, CO 81506-1953
Phone
(970) 245-2400
Fax
(970) 242-9092
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 29430 CO Primary

Addresses

Primary practice location

2643 Patterson Rd
Suite 503
Grand Junction, CO 81506-1953

Mailing address

2643 Patterson Rd
Suite 503
Grand Junction, CO 81506-1953
Phone (970) 245-2400

Other identifiers 1

IdentifierTypeStateIssuer
01294305MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000620 CO Practitioner - Otolaryngology 4284727025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29430COMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Otolaryngologists PC CurrentSince Jul 1, 1995 Accepting new patients
Colorado West Otolaryngologists PC Otolaryngology/Facial Plastic Surgery CurrentSince Jul 1, 1995 Accepting new patients

Locations

425 Patterson Rd
#50
Grand JCT, CO 81506

2515 Foresight Cir
Unit 200
Grand Junction, CO 81505
Phone (970) 245-2400

2643 Patterson Rd
Ste 503
Grand Junction, CO 81506
Phone (970) 245-2400

630 W 400 N
Moab, UT 84532
Phone (435) 259-0022

Interoperability endpoints

  • Direct secure messaging: michaeltrowbridge@cwo.allscriptsdirect.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1740275692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 PATTERSON RD",
            "address_2": "SUITE 503",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061953",
            "telephone_number": "970-245-2400",
            "fax_number": "970-242-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 PATTERSON RD",
            "address_2": "SUITE 503",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061953",
            "telephone_number": "970-245-2400",
            "fax_number": "970-242-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROWBRIDGE",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CO",
            "license": "29430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01294305",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.