VAIL VALLEY EAR NOSE AND THROAT GROUP (NPI# 1386781169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386781169 |
| Entity Type | Organization |
| Organization Name | VAIL VALLEY EAR NOSE AND THROAT GROUP |
| Practice Address |
105 Edwards Village Blvd Unit C202 Edwards CO 81632-9914 |
| Mailing Address |
Po Box 1366 105 Edwards Village Blvd, Unit C202 Edwards CO 81632-1366 |
| Practice Telephone | 9709266800 |
| Practice Fax Number | 9709266802 |
| Mailing Telephone | 9709266800 |
| Mailing Fax Number | 9709266802 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-12-18 |
| Authorized Official Name | CORIE GARDNER (MANAGER) |
| Authorized Official Telephone | 9709266800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 32861 | CO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 87735539 | 05 | |
| CO | BCBS GROUP | VA657244 | 01 |
| Street Address |
105 EDWARDS VILLAGE BLVD UNIT C202 |
| City | EDWARDS |
| State | CO |
| Zip Code | 81632-9914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771258 | Bsig Rx LLC | Pharmacy | 105 Edwards Village Blvd., Unit G-107, Edwards, CO 81632 | 2020-08-24 |
| 1700430535 | Luke Cobb | Chiropractor | 128 Main St #c6, Edwards, CO 81632 | 2019-07-30 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1073092037 | Ryan G Zastrow, Dds, Pllc | Dentist | 275 Main St Unit O 203, Edwards, CO 81632 | 2018-08-10 |
| 1093216046 | Mauricio Cadavid | Massage Therapist | Vimg, 105 Edwards Village Center A-203, Edwards, CO 81632 | 2018-02-26 |
| 1083113765 | Mountain Valley Kids Dental, Pllc | Dentist | 105 Edwards Village Blvd., #d-202, Po Box 41, Edwards, CO 81632 | 2018-02-07 |
| 1760903447 | Bryan Diekmann | Specialist/Technologist | 1140 Edwards Village Blvd. Ste 105, Edwards, CO 81632 | 2017-07-03 |
| 1457702409 | Anesthesia Partners of Colorado | Anesthesiology | 230 Foal Circle, Edwards, CO 81632 | 2016-06-30 |
| 1720437148 | Sheila Griffith | Specialist | 105 Edwards Village Blvd Suite G201, Edwards, CO 81632 | 2016-06-07 |
| 1992107171 | Sara Bentley | Physical Therapist | 105 Edwards Village Center, Suite A203, Edwards, CO 81632 | 2014-09-19 |
| Find all providers in zip 81632 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720437148 | Sheila Griffith | Specialist | 105 Edwards Village Blvd Suite G201, Edwards, CO 81632 | 2016-06-07 |
| 1932170339 | Sharon Hollis | Specialist | 1140 Edwards Vill Blvd, B208, Edwards, CO 81632-4828 | 2006-02-01 |
| 1124290358 | Mangat Plastic Surgery Center | Specialist | 56 Edwards Village Blvd, Suite 226, Edwards, CO 81632 | 2008-03-27 |
| 1881809457 | Vvmc Diversified Services | Specialist | 322 Beard Creek Road, Edwards, CO 81632 | 2007-05-14 |
| 1730279712 | Vvmc Diversified Services | Specialist | 320 Beard Creek Road, Edwards, CO 81632 | 2006-10-13 |
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| Find all providers with the same taxonomy | ||||
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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.