Organization Active NPI

Steamboat Orthopaedic and Spine Institute Monument LLC

  • Orthopaedic Surgery Physician
  • Monument, CO
National Provider Identifier
1831800374
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
STEAMBOAT ORTHOPAEDIC AND SPINE INSTITUTE MONUMENT LLC
Practice address
17230 Jackson Creek Pkwy Ste 260
Monument, CO 80132-7305
Phone
(719) 301-3010
Fax
(970) 871-1234
NPI assigned
Dec 6, 2022
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Emma Rush
Title
Administrator
Phone
(970) 439-0800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X NU

Addresses

Primary practice location

17230 Jackson Creek Pkwy Ste 260
Monument, CO 80132-7305

Mailing address

705 Marketplace PLZ Ste 200
Steamboat Springs, CO 80487-1841
Phone (970) 879-6663

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1831800374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MARKETPLACE PLZ STE 200",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804871841",
            "telephone_number": "970-879-6663",
            "fax_number": "970-871-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17230 JACKSON CREEK PKWY STE 260",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801327305",
            "telephone_number": "719-301-3010",
            "fax_number": "970-871-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEAMBOAT ORTHOPAEDIC AND SPINE INSTITUTE MONUMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-439-0800"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.