Organization Active NPI

Allergy, Asthma & Immunology of the Rockies, PC

  • Allergy & Immunology Physician
  • Glenwood Springs, CO
National Provider Identifier
1982877494
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
41037 Issued in CO
Legal business name
ALLERGY, ASTHMA & IMMUNOLOGY OF THE ROCKIES, PC
Practice address
1810 Grand Ave
Glenwood Springs, CO 81601-4112
Phone
(970) 947-0600
Fax
(970) 947-0601
NPI assigned
Apr 4, 2008
Last updated
Feb 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ALLERGY, ASTHMA & IMMUNOLOGY OF THE ROCKIES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Robert A. McDermott, MDNPI 1841261385
Title
Physician Owner/President
Phone
(970) 947-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 41037 CO Primary

Addresses

Primary practice location

1810 Grand Ave
Glenwood Springs, CO 81601-4112

Mailing address

PO Box #2601
Glenwood Spings, CO 81602-2601
Phone (970) 947-0600

Other identifiers 1

IdentifierTypeStateIssuer
51036746MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080820000476 CO Part B Supplier - Clinic/Group Practice 9032284369 Receives reassigned benefits from 3 practitioners
Practice locations: Glenwood Springs, CO; Basalt, CO

National Provider Directory

National Provider Directory
Part of
Allergy Asthma Immunology

Locations

120 Midland Ave
Unit 230
Glenwood Springs, CO 81601
Phone (970) 384-2240

1810 Grand Ave
Glenwood Springs, CO 81601
Phone (970) 450-5984

2520 Grand Ave
Ste 209
Glenwood Springs, CO 81601
Phone (970) 945-4499

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1982877494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX #2601",
            "city": "GLENWOOD SPINGS",
            "state": "CO",
            "postal_code": "816022601",
            "telephone_number": "970-947-0600",
            "fax_number": "970-947-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 GRAND AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014112",
            "telephone_number": "970-947-0600",
            "fax_number": "970-947-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY, ASTHMA & IMMUNOLOGY OF THE ROCKIES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLERGY, ASTHMA & IMMUNOLOGY OF THE ROCKIES, PC",
        "enumeration_date": "2008-04-04",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN OWNER/PRESIDENT",
        "authorized_official_telephone_number": "970-947-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "41037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51036746",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.

Verify at the official NPI Registry.