Individual provider Active NPI

George Klutinoty II, M.D.

  • Family Medicine Physician
  • Ft. Carson, CO
National Provider Identifier
1750390613
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01020131A Issued in IN
Practice address
1650 Cochrane Circle
Evans Army Community Hospital (Each) USA Meddac
Ft. Carson, CO 80913-4604
Phone
(719) 524-4068
Fax
(719) 524-7404
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01020131A IN Primary

Addresses

Primary practice location

1650 Cochrane Circle
Evans Army Community Hospital (Each) USA Meddac
Ft. Carson, CO 80913-4604

Mailing address

1650 Cochrane Circle
Evans Army Community Hospital (Each) USA Meddac
Fort Carson, CO 80913-4604
Phone (719) 526-7844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01020131AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Army Community Hospital Past Accepting new patients
Riverview Hospital Family Medicine Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750390613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIRCLE",
            "address_2": "EVANS ARMY COMMUNITY HOSPITAL (EACH) USA MEDDAC",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-526-7844",
            "fax_number": "719-526-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIRCLE",
            "address_2": "EVANS ARMY COMMUNITY HOSPITAL (EACH) USA MEDDAC",
            "city": "FT. CARSON",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-524-4068",
            "fax_number": "719-524-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUTINOTY",
        "first_name": "GEORGE",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01020131A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Carson, CO

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.