Active NPI
Paul G Story, M.D.
- Ophthalmology Physician
- Montrose, CO
National Provider Identifier
1851443865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 21286
- Practice address
- 1800 E Pavilion PL
Suite B
Montrose, CO 81401-5337 - Phone
- (970) 249-1210
- Fax
- (970) 249-3057
- NPI assigned
- Jan 18, 2007
- Last updated
- Oct 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 21286 | CO | Primary |
| Ophthalmology Physician | 207W00000X | 013093 | GA |
Addresses
Primary practice location
1800 E Pavilion PL
Suite B
Montrose, CO 81401-5337
Mailing address
1800 E Pavilion PL
Suite B
Montrose, CO 81401-5337
Phone (970) 249-1210
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34698 | Other | BLUECROSS BLUESHIELD | |
| 01212869 | Medicaid | CO | |
| 840851676001 | Other | ROCKY MOUNTAIN HEALTH PLA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21286 | CO | MD | Ophthalmology Physician |
| 013093 | GA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1851443865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 E PAVILION PL",
"address_2": "SUITE B",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015337",
"telephone_number": "970-249-1210",
"fax_number": "970-249-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E PAVILION PL",
"address_2": "SUITE B",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015337",
"telephone_number": "970-249-1210",
"fax_number": "970-249-3057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORY",
"first_name": "PAUL",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "21286",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "013093",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "34698",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01212869",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROCKY MOUNTAIN HEALTH PLA",
"identifier": "840851676001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.