Organization Active NPI

Milestone Medical Group Inc

  • Internal Medicine Physician
  • Longmont, CO
National Provider Identifier
1790072973
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MILESTONE MEDICAL GROUP INC
Practice address
1950 Mountain View Ave
Longmont, CO 80501-3129
Phone
(303) 651-5026
NPI assigned
Jul 7, 2011
Last updated
Mar 2, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
LONGMONT UNITED HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Mitchell Carson
Title
Ceo
Phone
(303) 651-5025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1950 Mountain View Ave
Longmont, CO 80501-3129

Mailing address

1950 Mountain View Ave
Longmont, CO 80501-3129
Phone (303) 651-5026

National Provider Directory

National Provider Directory
Part of
Longmont Memorial Hospt

Locations

410 S Sunset St
Ste A
Longmont, CO 80501
Phone (303) 651-5493

Practitioners & affiliated clinicians

Practitioners 5

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": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1790072973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 MOUNTAIN VIEW AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013129",
            "telephone_number": "303-651-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 MOUNTAIN VIEW AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013129",
            "telephone_number": "303-651-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONGMONT UNITED HOSPITAL",
        "enumeration_date": "2011-07-07",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-651-5025"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.