NPIMap

Organization Active NPI

Mercy Regional Medical Center of Durango

  • Anesthesiology Physician
  • Durango, CO
National Provider Identifier
1821219015
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
1261 Issued in CO
Legal business name
MERCY REGIONAL MEDICAL CENTER OF DURANGO
Practice address
1010 Three Springs Blvd
Durango, CO 81301-8296
Phone
(970) 247-4311
NPI assigned
May 2, 2007
Organization subpart
Yes
Parent organization
MERCY REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Kirk Dignum
Title
Ceo President
Phone
(970) 247-4311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 1261 CO Primary

Addresses

Primary practice location

1010 Three Springs Blvd
Durango, CO 81301-8296

Mailing address

1010 Three Springs Blvd
Durango, CO 81301-8296
Phone (970) 247-4311

Other identifiers 1

IdentifierTypeStateIssuer
88971872MedicaidCO

Other names 1

  • Southwest Colorado Anesthesia Other name

National Provider Directory

National Provider Directory
Part of
Mercy Hospital Pharmacy

Locations

1010 Three Springs Blvd
#C
Durango, CO 81301
Phone (970) 247-4311

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1821219015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 THREE SPRINGS BLVD",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018296",
            "telephone_number": "970-247-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 THREE SPRINGS BLVD",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018296",
            "telephone_number": "970-247-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY REGIONAL MEDICAL CENTER OF DURANGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY REGIONAL MEDICAL CENTER",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "DIGNUM",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "970-247-4311"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "1261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88971872",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Colorado Anesthesia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.