NPIMap

Individual provider Active NPI

Lindsay Michelle Southgate

  • Hospitalist Physician
  • Glenwood Springs, CO
National Provider Identifier
1780146894
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DR.0069401 Issued in CO
Practice address
1906 Blake Ave
Glenwood Springs, CO 81601-4259
Phone
(970) 945-6535
Fax
(970) 945-5460
NPI assigned
Apr 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0069401 CO
Hospitalist Physician 208M00000X DR.0069401 CO Primary

Addresses

Primary practice location

1906 Blake Ave
Glenwood Springs, CO 81601-4259

Mailing address

PO Box 2270
Glenwood Springs, CO 81602-2270
Phone (970) 384-7033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220913001277 CO Practitioner - Internal MedicinePractitioner - Hospitalist 8426383050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, 205 clinicians

Practice addresses (Care Compare)

1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 945-6535

1906 Blake Ave
Glenwood SPGS, CO 81601-4259

Hospital & facility affiliations

  • Valley View Hospital Association Hospital, Glenwood Springs, CO, CCN 060075
  • Aspen Valley Hospital District Hospital, Aspen, CO, CCN 061324
  • Grand River Hospital District Hospital, Rifle, CO, CCN 061317
  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024
  • Vail Health Hospital Hospital, Vail, CO, CCN 060096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0069401COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association Internal Medicine Current Accepting new patients
Valley View Hospital Association CurrentSince Aug 5, 2022 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association Current Accepting new patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
Valley View Hospital Association CurrentSince Aug 5, 2022 Accepting new patients

Locations

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

Organizations & group practices 6

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.

Hospital & facility affiliations 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1780146894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2270",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816022270",
            "telephone_number": "970-384-7033",
            "fax_number": "970-945-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014259",
            "telephone_number": "970-945-6535",
            "fax_number": "970-945-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHGATE",
        "first_name": "LINDSAY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0069401",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0069401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.