Active NPI
Gunnison Valley Hospital
- Orthopaedic Surgery Physician
- Crested Butte, CO
National Provider Identifier
1942939889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- GUNNISON VALLEY HOSPITAL
- Practice address
- 433 Sixth Street
Crested Butte, CO 81224 - Phone
- (970) 349-5103
- NPI assigned
- Jun 7, 2022
- Organization subpart
- Yes
- Parent organization
- GUNNISON VALLEY HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Vanderveer
- Title
- Cfo
- Phone
- (970) 642-4760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
433 Sixth Street
Crested Butte, CO 81224
Mailing address
711 N Taylor St
Gunnison, CO 81230-2208
Other names 1
- Gunnison Valley Orthopedics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Other NPIs on the same Medicare enrollment 27
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gunnison, CO
- NPI 1033990064
O20040331000463
-
- Physical Therapy Clinic/Center
- Crested Butte, CO
- NPI 1285442020
O20040331000463
-
- Critical Access Hospital Clinic/Center
- Gunnison, CO
- NPI 1306295506
O20040331000463
-
- Obstetrics & Gynecology Physician
- Gunnison, CO
- NPI 1407558349
O20040331000463
National Provider Directory
National Provider Directory- Part of
- Gunnison Valley Hospital
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Gunnison, CO
- NPI 1720228935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654560000000",
"number": "1942939889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 N TAYLOR ST",
"city": "GUNNISON",
"state": "CO",
"postal_code": "812302208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 SIXTH STREET",
"city": "CRESTED BUTTE",
"state": "CO",
"postal_code": "81224",
"telephone_number": "970-349-5103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUNNISON VALLEY HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GUNNISON VALLEY HOSPITAL",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-07",
"certification_date": "2022-05-31",
"status": "A",
"authorized_official_last_name": "VANDERVEER",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "970-642-4760"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gunnison Valley Orthopedics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Crested Butte, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.