DR. BROOKE HASTINGS CHEATHAM (NPI# 1235549361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235549361 |
| Entity Type | Individual |
| Full Name | DR. BROOKE HASTINGS CHEATHAM |
| Other Name | MELISSA BROOKE HASTINGS |
| Credential | D.O. |
| Practice Address |
1305 Escalente Drive Unit 205 Durango CO 81303 |
| Practice Telephone | 9702591971 |
| Practice Fax Number | 9702594036 |
| Mailing Telephone | 9702591971 |
| Mailing Fax Number | 9702594036 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DR.0059781 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | DEA | FC7319913 | 01 |
| Street Address |
1305 ESCALENTE DRIVE UNIT 205 |
| City | DURANGO |
| State | CO |
| Zip Code | 81303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870603 | Durango Surgery Center LLC | Clinic/Center | 1266 Escalante, Suite 101, Durango, CO 81303 | 2020-08-04 |
| 1659891489 | Sarah Raeghan Dessel | Behavioral Analyst | 2432 County Road 220, Durango, CO 81303 | 2017-06-22 |
| 1336546076 | Aerocare Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 208 Parker Ave Ste C, Durango, CO 81303 | 2014-11-24 |
| 1346596855 | Kristi Deanne Stump | Registered Nurse | 281 Sawyer Drive, Durango, CO 81303 | 2012-08-02 |
| 1356643696 | Jonathan Stein Mitchell | Social Worker | 466 S. Skylane Dr., Open Sky Wilderness Therapy, Durango, CO 81303 | 2010-11-18 |
| 1295979771 | Gregory Albert Martin | Counselor | 466 South Skylane Drive, Durango, CO 81303 | 2009-04-28 |
| 1700054772 | Southwest Alternative Medical, Inc. | Family Medicine | 523-a South Camino Del Rio, Durango, CO 81303 | 2008-02-13 |
| 1316069073 | Jeffrey Yaskin | Physical Therapist | 327 S Camino Del Rio Unit 11b, Durango, CO 81303 | 2007-04-04 |
| 1023170479 | Daniel J Mcclure | Chiropractor | 523 -a S Camino Del Rio, Durango, CO 81303 | 2006-12-14 |
| 1942386115 | Deborah K Parr | Psychiatry & Neurology | 484 Turner Dr., Bldg F #101, Durango, CO 81303 | 2006-10-31 |
| Find all providers in zip 81303 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609266915 | Chester Mahlon Wigton | Family Medicine | 151 Riverview Dr, Durango, CO 81301-4349 | 2015-01-26 |
| 1568756724 | Adam Owens | Family Medicine | 810 E 3rd St Suite 201, Durango, CO 81301-5759 | 2011-06-06 |
| 1376853168 | Robert Earl Boyer | Family Medicine | 93 Snow Cap Ln, Durango, CO 81303-3611 | 2010-10-14 |
| 1700054772 | Southwest Alternative Medical, Inc. | Family Medicine | 523-a South Camino Del Rio, Durango, CO 81303 | 2008-02-13 |
| 1336363860 | David Alan Sigurslid | Family Medicine | 755 E 2nd Ave Ste E, Durango, CO 81301-5472 | 2007-04-13 |
| 1063565810 | Alison W Jackson | Family Medicine | 3577 Main Ave, Durango, CO 81301-4028 | 2007-01-18 |
| 1164599114 | Christopher Paul Mills | Family Medicine | 150 Rock Point Drive, Unit C, Durango, CO 81301-7727 | 2006-11-28 |
| 1033281696 | John Robert Best | Family Medicine | 1800 E 3rd Ave Ste 112, Durango, CO 81301-5046 | 2006-11-15 |
| 1912003435 | Suzanne Renee Lafex Ciotti | Family Medicine | 3600 Main Ave, Suite C, Durango, CO 81301-4000 | 2006-09-15 |
| 1063524288 | Mountain View Family Healthcare PC | Family Medicine | 72 Suttle St Ste C, Durango, CO 81303-6829 | 2006-09-01 |
| Find all providers in DURANGO | ||||
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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.