ANIMAS SURGICAL HOSPITAL, LLC (NPI# 1184178238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184178238 |
| Entity Type | Organization |
| Organization Name | ANIMAS SURGICAL HOSPITAL, LLC |
| Other Organization Name | ANIMAS INTERNAL MEDICINE |
| Practice Address |
575 Rivergate Suite 204 Durango CO 81301-7487 |
| Mailing Address |
6128 S Lyncrest Ave Sioux Falls SD 57108-2560 |
| Practice Telephone | 9704031340 |
| Practice Fax Number | 9704031341 |
| Mailing Telephone | 8889550501 |
| Mailing Fax Number | 6052746186 |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2019-07-23 |
| Authorized Official Name | JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6152345935 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01M130 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | LICENSE | 01M130 | 01 |
| Other Name | Type Code |
|---|---|
| Animas Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508842964 | Animas Surgical Hospital, LLC | General Acute Care Hospital | 575 Rivergate Lane, Durango, CO 81301 | 2005-12-19 |
| 1366932196 | Animas Surgical Hospital, LLC | Orthopaedic Surgery | 575 Rivergate Lane, Suite 109, Durango, CO 81301 | 2018-05-17 |
| 1194161422 | Animas Surgical Hospital, LLC | Clinic/Center | 450 S Camino Del Rio, Suite 106, Durango, CO 81301-6856 | 2013-05-14 |
| 1497071435 | Animas Surgical Hospital, LLC | Preventive Medicine | 450 S Camino Del Rio, Suite 106, Durango, CO 81301-6856 | 2010-04-15 |
| 1861721714 | Animas Surgical Hospital, LLC | Internal Medicine | 575 Rivergate, Durango, CO 81301-7487 | 2009-12-23 |
| 1235313693 | Animas Surgical Hospital, LLC | Family Medicine | 575 Rivergate Lane, #105, Durango, CO 81301 | 2007-12-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Animas Surgical Hospital, LLC | 310 Seven Springs Way, Suite 500, Brentwood, TN 37027 |
| Street Address |
575 RIVERGATE SUITE 204 |
| City | DURANGO |
| State | CO |
| Zip Code | 81301-7487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689667420 | Craig W Goodsell | Anesthesiology | 575 Rivergate, Durango, CO 81301-7487 | 2005-08-26 |
| 1932712353 | Melissa Raye Whipple | Specialist/Technologist, Other | 575 Rivergate, Durango, CO 81301-7487 | 2020-08-25 |
| 1255836300 | Anam Medical Inc | Anesthesiology | 575 Rivergate, Durango, CO 81301-7487 | 2018-03-29 |
| 1588172423 | Barker Medical Consultants | Anesthesiology | 575 Rivergate, Durango, CO 81301-7487 | 2018-01-12 |
| 1013360775 | Morpheus Anesthesia, LLC | Anesthesiology | 575 Rivergate, Durango, CO 81301-7487 | 2016-07-18 |
| 1760857981 | Tiffany L Brainerd Md Pllc | Anesthesiology | 575 Rivergate, Durango, CO 81301-7487 | 2015-12-14 |
| 1225400674 | Jeffrey S. Williams, Do, PC | Surgery | 575 Rivergate, Suite 205, Durango, CO 81301-7487 | 2015-10-26 |
| 1225432909 | Cedar Peaks Anesthesia Partners LLC | Special Hospital | 575 Rivergate, Durango, CO 81301-7487 | 2014-10-09 |
| 1992147177 | Jan Lowrey, PC | Specialist | 575 Rivergate, Durango, CO 81301-7487 | 2013-07-29 |
| 1609129626 | Nicholas L Hugentobler PC | Podiatrist | 575 Rivergate, Suite 105, Durango, CO 81301 | 2012-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003541 | High Country Counseling, LLC | Social Worker | 101 East 31st Street, Unit B, Durango, CO 81301 | 2019-09-20 |
| 1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
| 1649710583 | Dr. Michael Washinsky, LLC | Psychiatry & Neurology | 1800 East 3rd Ave., Suite 102, Durango, CO 81301 | 2017-02-25 |
| 1578000113 | Taylor Ferraro | Prevention Professional | 221 E 4th Ave Unit B, Durango, CO 81301 | 2017-01-20 |
| 1467811224 | Newelldixon, Pllc | Clinic/Center | 29423 E. Highway 160, Durango, CO 81301 | 2016-02-22 |
| 1699146803 | Leah Linder | Naturopath | 117 Cr 250. Suite A, Durango, CO 81301 | 2015-10-14 |
| 1780065136 | Jeffrey Hines | Occupational Therapy Assistant | 970 Silver Mesa Driveway, Durango, CO 81301 | 2015-06-11 |
| 1467832410 | Sara Supinski LLC | Clinic/Center | 1911 Main Ave, Suite 240, Durango, CO 81301 | 2015-06-04 |
| 1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
| 1891112280 | Lisa Ann Proulx | Health Educator | 3 Springs Blvd.. Suite 201, Durango, CO 81301 | 2014-03-24 |
| Find all providers in zip 81301 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811209182 | Morgan Elaine Marcuccilli | Internal Medicine | 1010 Three Springs Blvd Ste 255, Durango, CO 81301-8296 | 2010-07-02 |
| 1619112307 | Sarah E. Goodpastor | Internal Medicine | 3235 Main Ave Ste 2, Durango, CO 81301-4258 | 2008-12-09 |
| 1427274208 | Steven Matthew Weiss | Internal Medicine | 1010 Three Springs Blvd Ste 110a, Durango, CO 81301-8296 | 2007-04-18 |
| 1982616470 | William Michael Finn | Internal Medicine | 450 S Camino Del Rio Ste 106, Durango, CO 81301-6856 | 2006-08-12 |
| 1467904003 | Total Healthcare | Internal Medicine | 1 Mercado St, Suite 160, Durango, CO 81301-7306 | 2016-10-31 |
| 1194172379 | Micah Helton | Internal Medicine | 810 E 3rd St Unit 201, Durango, CO 81301-5759 | 2016-05-18 |
| 1356710370 | Catholic Health Initiatives Colorado | Internal Medicine | 3235 Main Ave, Suite 2, Durango, CO 81301-4258 | 2015-09-21 |
| 1073869467 | Total Healthcare | Internal Medicine | 1 Mercado St, Suite 160, Durango, CO 81301-7306 | 2012-08-03 |
| 1487920997 | Caley Marie Copeland | Internal Medicine | 1010 Three Springs Blvd, Durango, CO 81301 | 2012-03-29 |
| 1548549637 | Catholic Health Initiatives Colorado | Internal Medicine | 1010 Three Springs Blvd, Suite 110a, Durango, CO 81301-8296 | 2011-08-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.