Paul W Fonken, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28920 Issued in CO

Practice address

131 Stanley Ave
Suite 202
Estes Park, CO 80517-6363

Phone

(970) 586-2343

Fax

(970) 586-9060

NPI assigned

Apr 12, 2006

Last updated

Jan 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

University of New Mexico School of Medicine, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Estes Park Medical Center Hospital, Estes Park, CO, CCN 061312

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pfonken@yourcarecommunity.org

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.

• Uchealth Estes Valley Medical Center

  dba Estes Park Health

  • Critical Access Hospital
  • Estes Park, CO
  • NPI 1154312981
  Medicare reassignment NPD
• Rural Physicians Group-Pannu PLLC

  • Hospitalist Physician
  • Greenwood Village, CO
  • NPI 1891236584
  Medicare reassignment
• Rural Physicians Group - Pannu PLLC

  • Hospitalist Physician
  • Delta, CO
  • NPI 1851972087

  Family Medicine

  NPD
• Uchealth Estes Valley Medical Center

  dba Estes Park Health Physicians Clinic

  • Primary Care Clinic/Center
  • Estes Park, CO
  • NPI 1467581470

  Family Medicine

  NPD
• S Pannu Inc

  • Internal Medicine Physician
  • Susanville, CA
  • NPI 1407987522
  NPD (past)

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

• Uchealth Estes Valley Medical Center

  dba Estes Park Health

  • Critical Access Hospital
  • Estes Park, CO
  • NPI 1154312981
  Care Compare affiliation

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1831153345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 STANLEY AVE",
            "address_2": "SUITE 202",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805176363",
            "telephone_number": "970-586-2343",
            "fax_number": "970-586-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 STANLEY AVE",
            "address_2": "SUITE 202",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805176363",
            "telephone_number": "970-586-2343",
            "fax_number": "970-586-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONKEN",
        "first_name": "PAUL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "28920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estes Park Takxi LLC (Non Emergency Transportation)
• Estes Valley Anesthesia LLC
• Hannah Elena Schwartz Fields, M.D.
• Fire Mountain Residential Treatment Center, Inc.
• Eileen Flaherty, NP
• Nicole Frens
• Amber Galey, MD
• Shanda Mariel Gomes, M.D.
• Ixah Xochitl Gonzalez Gallegos
• Michael P Grant, M.D.

• Family Medicine Physician in Estes Park, CO
• Providers in Estes Park, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.