Active NPI
William G Rainer Jr PC
- Specialist
- Cortez, CO
National Provider Identifier
1912169368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 28307
- Legal business name
- WILLIAM G RAINER JR PC
- Practice address
- 106 E 1St St
Cortez, CO 81321-3749 - Phone
- (970) 565-4500
- Fax
- (970) 565-0862
- NPI assigned
- Jun 26, 2008
- Last updated
- Mar 31, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William G Rainer Jr., MD
- Title
- President
- Phone
- (970) 565-4500
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 28307 | CO | Primary |
Addresses
Primary practice location
106 E 1St St
Cortez, CO 81321-3749
Mailing address
106 E 1St St
Cortez, CO 81321-3749
Phone (970) 565-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27935221 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
106 E 1st St
Cortez, CO 81321
Phone (970) 564-7171
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Surgery Physician
- Cortez, CO
- NPI 1821067190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459382400000",
"number": "1912169368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 E 1ST ST",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813213749",
"telephone_number": "970-565-4500",
"fax_number": "970-565-0862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 E 1ST ST",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813213749",
"telephone_number": "970-565-4500",
"fax_number": "970-565-0862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM G RAINER JR PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-26",
"last_updated": "2016-03-31",
"status": "A",
"authorized_official_last_name": "RAINER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "970-565-4500",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "28307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27935221",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cortez, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.