Durango Neurology, P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

25191 Issued in CO

Legal business name

DURANGO NEUROLOGY, P.C.

Practice address

1 Mercado St
Suite 150
Durango, CO 81301-7306

Phone

(970) 828-3600

Fax

(970) 828-3602

NPI assigned

Dec 20, 2011

Last updated

Dec 20, 2011By 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

Mr. Stephen Albert Veals

Title

Administrator

Phone

(970) 828-3600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1780953877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST",
            "address_2": "SUITE 150",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017306",
            "telephone_number": "970-828-3600",
            "fax_number": "970-828-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST",
            "address_2": "SUITE 150",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017306",
            "telephone_number": "970-828-3600",
            "fax_number": "970-828-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURANGO NEUROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "VEALS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-828-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "25191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100334010",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Durango Gynecological Oncology PC
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• Durango Kids Pediatric Dentistry General Partnership (Durango Kids Pediatric Dentistry)
• Durango Kids Pediatric Dentistry, P.C. (Animas Pediatric Dental Group, P.C.)
• Durango Neurological Assoc. PC
• Durango Osteopathic Care, PC
• Durango Physical Therapy Assoc
• Durango Psychological Associates, LLC
• Durango School District 9-R
• Durango School District 9-R

• Neurology Physician in Durango, CO
• Providers in Durango, CO by specialty
• Neurology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.