Active NPI
San Juan Family Medicine PC
- Family Medicine Physician
- Montrose, CO
National Provider Identifier
1982623112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40234
- Legal business name
- SAN JUAN FAMILY MEDICINE PC
- Practice address
- 630 E Star CT
Montrose, CO 81401-6702 - Phone
- (970) 240-0378
- Fax
- (970) 240-3346
- NPI assigned
- Jul 19, 2006
- Last updated
- Mar 17, 2018
- 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
- Karen J Hornbeck
- Title
- Off MGR
- Phone
- (970) 240-6136
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40234 | CO | Primary |
Addresses
Primary practice location
630 E Star CT
Montrose, CO 81401-6702
Mailing address
816 S 5TH St
Montrose, CO 81401-5765
Phone (970) 249-3322
Other practice location 1
816 S 5th St
Montrose, CO 81401-5765
Phone (970) 249-3322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620398YQUN | Other | CO | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
164 Colorado Ave
Montrose, CO 81401
Phone (970) 240-0378
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.
-
- Family Medicine Physician
- Olathe, CO
- NPI 1376563353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1982623112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 S 5TH ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015765",
"telephone_number": "970-249-3322",
"fax_number": "970-240-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E STAR CT",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814016702",
"telephone_number": "970-240-0378",
"fax_number": "970-240-3346"
}
],
"practiceLocations": [
{
"address_1": "816 S 5th St",
"address_purpose": "LOCATION",
"city": "Montrose",
"state": "CO",
"postal_code": "814015765",
"country_code": "US",
"telephone_number": "970-249-3322",
"fax_number": "970-240-7976",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SAN JUAN FAMILY MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "HORNBECK",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFF MGR",
"authorized_official_telephone_number": "970-240-6136"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "40234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "620398YQUN",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.