NPIMap

Organization Active NPI

Total Healthcare

Doing business as Prbypc Bayfield

  • Family Medicine Physician
  • Bayfield, CO
National Provider Identifier
1992316095
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TOTAL HEALTHCARE
Doing business as
Prbypc Bayfield
Practice address
480 Wolverine Dr Ste 3
Bayfield, CO 81122-9653
Phone
(970) 764-9150
Fax
(970) 764-9159
NPI assigned
Aug 12, 2020
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Angela J Skinner
Title
Administrator Oma
Phone
(303) 673-7175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

480 Wolverine Dr Ste 3
Bayfield, CO 81122-9653

Mailing address

PO Box 802793
Kansas City, MO 64180-2793
Phone (800) 953-0104

Other names 4

  • PRBYPC BAYFIELD Doing business as
  • CMG Primary Care Bayfield Other name
  • Mercy Family Medicine Other name
  • Mercy Family Medicine Bayfield Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129000282 CO Part B Supplier - Clinic/Group Practice 1052214814 Receives reassigned benefits from 27 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bayfield, CO; Durango, CO

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1992316095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802793",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802793",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 WOLVERINE DR STE 3",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811229653",
            "telephone_number": "970-764-9150",
            "fax_number": "970-764-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR OMA",
        "authorized_official_telephone_number": "303-673-7175"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRBYPC BAYFIELD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CMG Primary Care Bayfield",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mercy Family Medicine",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mercy Family Medicine Bayfield",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mercy Family Medicine Bayfield",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bayfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.