Individual provider Active NPI

Erin Elizabeth Nealon, D.O

  • Internal Medicine Physician
  • Durango, CO
National Provider Identifier
1912161456
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
55603 Issued in CO
Practice address
3235 Main Ave
Suite 2
Durango, CO 81301-4258
Phone
(970) 764-9300
NPI assigned
Jul 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.052768 IL
Internal Medicine Physician 207R00000X A-1544-10 NM
Internal Medicine Physician 207R00000X 55603 CO Primary

Addresses

Primary practice location

3235 Main Ave
Suite 2
Durango, CO 81301-4258

Mailing address

3235 Main Ave
Suite 2
Durango, CO 81301-4258
Phone (970) 764-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005001218 TX Practitioner - Internal Medicine 0648462986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Kansas City College of Medicine and Surgery, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Ute Indian TribeGroup PAC ID 6800928292, shared by 2 NPIs, 13 clinicians

Practice addresses (Care Compare)

PO Box
Ignacio, CO 81137

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
125.052768ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thoreau Clinic CurrentSince Sep 13, 2010 Accepting new patients
Pueblo Pintado Clinic CurrentSince Sep 13, 2010 Accepting new patients
DHHS PHS Naihs Crownpoint Hospital Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1912161456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 MAIN AVE",
            "address_2": "SUITE 2",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014258",
            "telephone_number": "970-764-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 MAIN AVE",
            "address_2": "SUITE 2",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014258",
            "telephone_number": "970-764-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEALON",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.052768",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "A-1544-10",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "55603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.