Loma Vista General & Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22033 Issued in CO

Legal business name

LOMA VISTA GENERAL & FAMILY PRACTICE PC

Practice address

2201 San Juan Ave
La Junta, CO 81050-3323

Phone

(719) 384-8181

Fax

(719) 384-4872

NPI assigned

Oct 11, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Elaine Schmucker, OWNER

Title

President

Phone

(719) 384-8181

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1740278936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SAN JUAN AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810503323",
            "telephone_number": "719-384-8181",
            "fax_number": "719-384-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SAN JUAN AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810503323",
            "telephone_number": "719-384-8181",
            "fax_number": "719-384-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA VISTA GENERAL & FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "SCHMUCKER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-384-8181",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "22033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04773040",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• La Junta LTC Investors
• La Junta Rural Fire Protection District
• La Junta Rural Fire Protection District
• Rosa Linda Lacy, DDS
• Lock Monkey Inc
• Loma Vista General and Family Practice
• Loma Vista Surgery PC
• Kassidy Lynn Lotrich, DPT
• Kristopher Michael Love, NP-C
• Emily Suzanna Lucero-Deleon, CAC III

• Family Medicine Physician in La Junta, CO
• Providers in La Junta, 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 Dec 5, 2017; 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.