NPIMap

Organization Active NPI

Avista Womens Care

  • Obstetrics & Gynecology Physician
  • Erie, CO
National Provider Identifier
1992064315
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
AVISTA WOMENS CARE
Practice address
611 Mitchell Way
Suite 103
Erie, CO 80516-5436
Phone
(303) 439-8910
Fax
(303) 439-9134
NPI assigned
May 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Ms. Paula Hancock
Title
Business Manager
Phone
(303) 439-8910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

611 Mitchell Way
Suite 103
Erie, CO 80516-5436

Mailing address

90 Health Park Dr
Suite 290
Louisville, CO 80027-9757
Phone (303) 439-8910

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1992064315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR",
            "address_2": "SUITE 290",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279757",
            "telephone_number": "303-439-8910",
            "fax_number": "303-439-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MITCHELL WAY",
            "address_2": "SUITE 103",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805165436",
            "telephone_number": "303-439-8910",
            "fax_number": "303-439-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVISTA WOMENS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "303-439-8910",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.