Organization Active NPI

Western Orthopedics & Sports

  • Orthopaedic Surgery Physician
  • Grand Junction, CO
National Provider Identifier
1780629436
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
WESTERN ORTHOPEDICS & SPORTS
Practice address
2373 G Rd
Suite 100
Grand Junction, CO 81505-9641
Phone
(970) 245-0484
Fax
(970) 241-2803
NPI assigned
Jun 17, 2006
Last updated
Sep 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Leeann Shobe
Title
Ceo
Phone
(970) 245-0484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X CO Primary

Addresses

Primary practice location

2373 G Rd
Suite 100
Grand Junction, CO 81505-9641

Mailing address

2373 G Rd
Suite 100
Grand Junction, CO 81505-9641
Phone (970) 245-0484

Other identifiers 1

IdentifierTypeStateIssuer
04001897MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1780629436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 G RD",
            "address_2": "SUITE 100",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815059641",
            "telephone_number": "970-245-0484",
            "fax_number": "970-241-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD",
            "address_2": "SUITE 100",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815059641",
            "telephone_number": "970-245-0484",
            "fax_number": "970-241-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ORTHOPEDICS & SPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "SHOBE",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-245-0484"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04001897",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.