Elevation Internal Medicine PC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

DR0044007 Issued in CO

Legal business name

ELEVATION INTERNAL MEDICINE PC

Practice address

1501 E 3Rd St
Delta, CO 81416-2815

Phone

(970) 874-7681

NPI assigned

Aug 29, 2013

Last updated

Aug 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Labrecque

Title

Accts MGR

Phone

(702) 453-3799

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1760816417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1112",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813021112",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 3RD ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162815",
            "telephone_number": "970-874-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "LABRECQUE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ACCTS MGR",
        "authorized_official_telephone_number": "702-453-3799"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR0044007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO LIC",
            "identifier": "DR 0044007",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather L Driver, CRNA
• Elizabeth L Dufek, MA
• Brian J Eades, M.D.
• Francis Michael Ebding, OTR/L
• Stacy A Eckerman, PHARMD
• Elizabeth L Dufek
• Ellington Eyecare PLLC
• Mariah Emond, MS, LPC
• Amy D Engel, RD
• Alex Etzenhouser, PTA

• Hospitalist Physician in Delta, CO
• Providers in Delta, CO by specialty
• Hospitalist Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.