Crested Butte Pediatrics Prof LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CRESTED BUTTE PEDIATRICS PROF LLC

Practice address

419 6TH Street
Suite 202
Crested Butte, CO 81224

Phone

(970) 349-6606

Fax

(866) 682-6309

NPI assigned

Jun 14, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer M Sanderford, MDNPI 1750382149

Title

Sole Member

Phone

(954) 294-1963

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jennifer M Sanderford, MD

  • Pediatrics Physician
  • Crested Butte, CA
  • NPI 1750382149
  NPD (past) Authorized official

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1992235873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812240167",
            "telephone_number": "970-349-6606",
            "fax_number": "866-682-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 6TH STREET",
            "address_2": "SUITE 202",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "81224",
            "telephone_number": "970-349-6606",
            "fax_number": "866-682-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTED BUTTE PEDIATRICS PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "SANDERFORD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "954-294-1963",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Corn
• Crested Butte Counseling Service, LLC
• Crested Butte Fire Protection District
• Crested Butte Fire Protection District
• Crested Butte Grocery, LLC
• Crested Butte Physiotherapy, PC
• Caith Crosby, RMT
• Dawn Madrick Stewart, LLC
• Allison Kathleen Drucker, MA, LPCC
• Darlene Egelhoff

• Pediatrics Physician in Crested Butte, CO
• Providers in Crested Butte, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.