MOUNTAIN MEDICAL CENTER OF BUENA VISTA, PC (NPI# 1386728640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386728640 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN MEDICAL CENTER OF BUENA VISTA, PC |
| Other Organization Name | MOUNTAIN MEDICAL CENTER OF BUENA VISTA, PC |
| Practice Address |
36 Oak Street Buena Vista CO 81211 |
| Mailing Address |
Po Box 3129 Buena Vista CO 81211-3129 |
| Practice Telephone | 7193958632 |
| Practice Fax Number | 7193954971 |
| Mailing Telephone | 7193958632 |
| Mailing Fax Number | 7193954971 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2013-05-14 |
| Authorized Official Name | THOMAS E WHITE (PRESIDENT) |
| Authorized Official Telephone | 7193958632 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | DF7744 | 01 | |
| CO | 04010187 | 05 | |
| CO | 05638739 | 05 |
| Other Name | Type Code |
|---|---|
| Mountain Medical Center of Buena Vista, PC | Doing Business As Name - Organization |
| Street Address |
36 OAK STREET |
| City | BUENA VISTA |
| State | CO |
| Zip Code | 81211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427158815 | Thomas Elwood White | Family Medicine | 36 Oak Street, Buena Vista, CO 81211 | 2006-09-25 |
| 1184741837 | Doug Johnson Md PC | Obstetrics & Gynecology | 36 Oak Street, Buena Vista, CO 81211 | 2007-03-26 |
| 1659453892 | Douglas C Johnson | Obstetrics & Gynecology | 36 Oak Street, Buena Vista, CO 81211-3129 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487275129 | Shavano Pharmacy LLC | Pharmacy | 415 Us Highway 24 N, Buena Vista, CO 81211 | 2020-05-05 |
| 1598391864 | Kelly Sell | Acupuncturist | 109 Isabell Ct., #9, Buena Vista, CO 81211 | 2020-03-19 |
| 1164070306 | Kristina Labounta | Massage Therapist | 914 Yale Ave, Buena Vista, Co, CO 81211 | 2019-08-30 |
| 1043775364 | Dawn Mcdowell | Nurse Practitioner | 120 S Sangre De Cristo Ave., Buena Vista, CO 81211 | 2019-02-01 |
| 1578076956 | Sandi Lyman | Acupuncturist | 28350 Cr 317 #5, Buena Vista, CO 81211 | 2017-11-08 |
| 1205345865 | Lauren Michelle Gover | Pharmacist | 403 Highway 24 S, Buena Vista, CO 81211 | 2017-09-27 |
| 1780124461 | Afton Dunsmoor | Dental Hygienist | 115 Brookdale Ave, Buena Vista, CO 81211 | 2017-03-01 |
| 1013469857 | Deborah Dinin | Speech-Language Pathologist | 31257 County Road 384a, Buena Vista, CO 81211 | 2016-10-27 |
| 1871964239 | Diana Swedhin | Pharmacist | 7865 West Hiway 50, Salida, CO 81211 | 2015-10-12 |
| 1679975320 | Vadim Ciobanu | Physical Therapist | 301 Hwy 24 North, Buena Vista, CO 81211 | 2014-09-24 |
| Find all providers in zip 81211 | ||||
| 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 |
|---|---|---|---|---|
| 1528190519 | Linda Louise Mulka | Family Medicine | 129 Windwalker Rd, Buena Vista, CO 81211-8507 | 2007-03-12 |
| 1265525992 | Amy Welch Varble | Family Medicine | 213 Tabor St, Buena Vista, CO 81211 | 2006-10-02 |
| 1427158815 | Thomas Elwood White | Family Medicine | 36 Oak Street, Buena Vista, CO 81211 | 2006-09-25 |
| 1932108933 | George C. Wortley | Family Medicine | 2252 Magnolia Ave, Buena Vista, VA 24416-3122 | 2005-07-20 |
| 1518466499 | Elizabeth Jean Snow | Family Medicine | Po Box 937, Buena Vista, CO 81211-0937 | 2018-02-06 |
| 1194165373 | Marion Family Medicine, PC | Family Medicine | 131 E 6th Ave, Buena Vista, GA 31803-9714 | 2013-07-02 |
| 1497193262 | Craig Ronald Otteni | Family Medicine | 28374 County Road 317, Buena Vista, CO 81211-9158 | 2013-06-13 |
| 1891087821 | Thomas F. Hamilton, Md, Inc | Family Medicine | 2252 Magnolia Ave, Buena Vista, VA 24416-3122 | 2011-05-10 |
| 1497066682 | Daniel H Singleton | Family Medicine | 131 E 6th Ave, Buena Vista, GA 31803-9714 | 2010-06-23 |
| 1598986127 | Jeremy Boyd Roderick | Family Medicine | 28374 County Road 317, Buena Vista, CO 81211 | 2007-05-01 |
| Find all providers in BUENA VISTA | ||||
| City | BUENA VISTA |
| Zip Code | 81211 |
Please comment or provide details below to improve the information on MOUNTAIN MEDICAL CENTER OF BUENA VISTA, PC.
| 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.