Organization Active NPI

Norm Numerof, MD, PC

  • Internal Medicine Physician
  • Avon, CO
National Provider Identifier
1891098877
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CO 30580 Issued in CO
Legal business name
NORM NUMEROF, MD, PC
Practice address
142 Beaver Creek PL.
Suite 112
Avon, CO 81620-0000
Phone
(970) 949-5434
Fax
(970) 949-0376
NPI assigned
Dec 13, 2010
Last updated
Dec 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. Norm Numerof, M.D.
Title
President
Phone
(970) 949-5434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X CO 30580 CO Primary

Addresses

Primary practice location

142 Beaver Creek PL.
Suite 112
Avon, CO 81620-0000

Mailing address

PO Box 326
Vail, CO 81658-0326
Phone (970) 949-5434

Other identifiers 2

IdentifierTypeStateIssuer
C6676-1OtherCOPTAN
1720192776OtherCONPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101217000545 CO Part B Supplier - Clinic/Group Practice 5496943441 Receives reassigned benefits from 1 practitioner
Practice locations: Avon, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1891098877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816580326",
            "telephone_number": "970-949-5434",
            "fax_number": "970-949-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BEAVER CREEK PL.",
            "address_2": "SUITE 112",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816200000",
            "telephone_number": "970-949-5434",
            "fax_number": "970-949-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORM NUMEROF, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "NUMEROF",
        "authorized_official_first_name": "NORM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-949-5434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "CO 30580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "C6676-1",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720192776",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.