Individual provider Active NPI

Marisa V Laurora, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Delta, CO
National Provider Identifier
1811948102
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
DR.0063397 Issued in CO
Practice address
1501 E 3Rd St
Delta, CO 81416-2815
Phone
(970) 874-7681
Fax
(970) 874-2254
NPI assigned
May 12, 2006
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0063397 CO
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X DR.0063397 CO Primary

Addresses

Primary practice location

1501 E 3Rd St
Delta, CO 81416-2815

Mailing address

PO Box 10100
Delta, CO 81416-0008
Phone (970) 874-7681

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200206000127 CO Practitioner - Emergency Medicine 4587624937

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0063397COMDEmergency Medicine Physician
DR.0063397COMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta County Memorial Hospital Emergency Medical Services CurrentSince Jan 1, 2020 Accepting new patients
Delta County Memorial Hospital CurrentSince Jan 1, 2020 Accepting new patients
Memorial Hospital Past Accepting new patients
St. Luke's Quakertown Hospital Emergency Medicine Past Accepting new patients
Seton Emergency Physicians Emergency Medicine Past Accepting new patients
Memorial Hospital Emergency Medicine Past Accepting new patients
Grand View Emergency Medicine Associates Emergency Medical Services Past Accepting new patients
Ridge Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

236 Cottonwood St
Delta, CO 81416
Phone (970) 874-7681

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1811948102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10100",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814160008",
            "telephone_number": "970-874-7681",
            "fax_number": "970-874-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 3RD ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162815",
            "telephone_number": "970-874-7681",
            "fax_number": "970-874-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURORA",
        "first_name": "MARISA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "0063397",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CO",
            "license": "DR.0063397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

Verify at the official NPI Registry.