NPIMap

Individual provider Active NPI

Ryan T. Naffziger, M.D.

  • Plastic Surgery Physician
  • Durango, CO
National Provider Identifier
1780776849
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
47396 Issued in CO
Practice address
175 Mercado St
Ste 111
Durango, CO 81301-7318
Phone
(970) 828-1199
Fax
(970) 828-1194
NPI assigned
Sep 28, 2006
Last updated
Jun 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 47396 CO Primary

Addresses

Primary practice location

175 Mercado St
Ste 111
Durango, CO 81301-7318

Mailing address

175 Mercado St
Ste 111
Durango, CO 81301-7318
Phone (970) 828-1199

Other identifiers 1

IdentifierTypeStateIssuer
91985579MedicaidCO

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
I20090610000431 CO Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 4587627419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Southern Illinois University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

175 Mercado St
Suite 111
Durango, CO 81301-7318
Phone (970) 828-1199

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy17
Melanoma (skin cancer) excision34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47396COMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Naffziger, M.D., P.C. Surgery of the Hand CurrentSince Sep 1, 2004 Accepting new patients

Locations

175 Mercado St
Ste 111
Durango, CO 81301
Phone (970) 828-1199

2300 E 30th St
Bldg B
Farmington, NM 87401
Phone (505) 324-1000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1780776849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MERCADO ST",
            "address_2": "STE 111",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017318",
            "telephone_number": "970-828-1199",
            "fax_number": "970-828-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MERCADO ST",
            "address_2": "STE 111",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017318",
            "telephone_number": "970-828-1199",
            "fax_number": "970-828-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAFFZIGER",
        "first_name": "RYAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "47396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91985579",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.