Compass Peak Imaging, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

COMPASS PEAK IMAGING, LLC

Practice address

120 Midland Ave Ste 260
Glenwood Springs, CO 81601-9800

Phone

(970) 665-2194

Fax

(844) 684-4238

NPI assigned

Oct 13, 2017

Organization subpart

No

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

Authorized official

Name

Elizabeth Kulwiec, MD

Title

Chief Medical Officer

Phone

(970) 945-7564

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ankur Bharat Patel, M.D.

  • Diagnostic Radiology Physician
  • Glenwood Springs, CO
  • NPI 1881918092
  NPD
• Joseph Ghitis, MD

  • Diagnostic Radiology Physician
  • Shavano Park, TX
  • NPI 1386852911
  NPD
• Benjamin Ross Park, D.O.

  • Diagnostic Radiology Physician
  • Bothell, WA
  • NPI 1770922676
  NPD

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1992216261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816020548",
            "telephone_number": "970-945-7564",
            "fax_number": "844-684-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MIDLAND AVE STE 260",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816019800",
            "telephone_number": "970-665-2194",
            "fax_number": "844-684-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS PEAK IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "KULWIEC",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "970-945-7564",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colorados Urgentcare LLC
• Columbine Home Health
• Comfort Dental - Glenwood Springs
• Comfortdental
• Community Health Initiatives
• David Conklin, MD
• Patricia Conley, MA
• Juliane Cook, CEP
• Barbra Corcoran
• Christina Marie Cornick, OTR/L

• Radiology Clinic/Center in Glenwood Springs, CO
• Providers in Glenwood Springs, CO by specialty
• Radiology Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.