NPIMap

Organization Active NPI

Uncompahgre Family Medicine PC

  • Primary Care Clinic/Center
  • Montrose, CO
National Provider Identifier
1881788537
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
39301 Issued in CO
Legal business name
UNCOMPAHGRE FAMILY MEDICINE PC
Practice address
535 S Nevada Ave
Montrose, CO 81401
Phone
(970) 252-9165
Fax
(970) 252-8874
NPI assigned
Oct 3, 2006
Last updated
Jul 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Timothy Wayne Sullinger, MDNPI 1669410833
Title
President
Phone
(970) 252-9165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 39301 CO Primary

Addresses

Primary practice location

535 S Nevada Ave
Montrose, CO 81401

Mailing address

535 S Nevada Ave
Montrose, CO 81401
Phone (970) 252-9165

Other identifiers 2

IdentifierTypeStateIssuer
81957823MedicaidCO
DG4940OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

154 Colorado Ave
Ste 100
Montrose, CO 81401
Phone (970) 252-9165

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1881788537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S NEVADA AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "81401",
            "telephone_number": "970-252-9165",
            "fax_number": "970-252-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S NEVADA AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "81401",
            "telephone_number": "970-252-9165",
            "fax_number": "970-252-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCOMPAHGRE FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "SULLINGER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-252-9165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "39301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81957823",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG4940",
            "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 Jul 30, 2012; 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.