Active NPI
Paul Thomas Mayer, MD
- Family Medicine Physician
- Fort Collins, CO
National Provider Identifier
1962466037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0033992
- Practice address
- 1635 Blue Spruce Dr
Suite 121
Fort Collins, CO 80524-5427 - Phone
- (970) 494-4040
- Fax
- (970) 494-4076
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0033992 | CO | Primary |
Addresses
Primary practice location
1635 Blue Spruce Dr
Suite 121
Fort Collins, CO 80524-5427
Mailing address
802 W Drake Rd
Ste 101
Fort Collins, CO 80526-5567
Phone (303) 286-4560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01339928 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso County Public Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- Colorado Springs, CO
- NPI 1144388182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1962466037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 W DRAKE RD",
"address_2": "STE 101",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805265567",
"telephone_number": "303-286-4560",
"fax_number": "303-286-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 BLUE SPRUCE DR",
"address_2": "SUITE 121",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805245427",
"telephone_number": "970-494-4040",
"fax_number": "970-494-4076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "PAUL",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0033992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01339928",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.