Individual provider Active NPI

Paul G Story, M.D.

  • Ophthalmology Physician
  • Montrose, CO
National Provider Identifier
1851443865
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
21286 Issued in CO
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
34698OtherBLUECROSS BLUESHIELD
01212869MedicaidCO
840851676001OtherROCKY 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

LicenseStateTypeSpecialty
21286COMDOphthalmology Physician
013093GAMDOphthalmology 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.

Verify at the official NPI Registry.