TOMAS PEVNY


Address: 1450 E Valley Rd, Suite 201, Basalt, CO 81621-8304
Phone: 9709278611

TOMAS PEVNY (NPI# 1740244342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740244342
Entity Type Individual
Full Name TOMAS PEVNY
Credential MD
Practice Address 1450 E Valley Rd
Suite 201
Basalt
CO 81621-8304
Practice Telephone 9709278611
Practice Fax Number 9709278633
Mailing Telephone 9709278611
Mailing Fax Number 9709278633
Enumeration Date 2006-04-12
Last Update Date 2012-03-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery 34527 CO Allopathic & Osteopathic Physicians
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
34527 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 01345271 05

Office Location

Street Address 1450 E VALLEY RD
SUITE 201
City BASALT
State CO
Zip Code 81621-8304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992708622 Karen Cross Locke Family Medicine 1450 E Valley Rd, Unit 101, Basalt, CO 81621-8352 2005-05-27
1427670504 Valley View Hospital Association Internal Medicine 1450 E Valley Rd, Basalt, CO 81621-8304 2020-05-12
1518361070 Jarid Patrick Rollins Social Worker 1450 E Valley Rd, Unit 102, Basalt, CO 81621-8352 2014-10-13
1386879831 Sopris Medical Practice, P.C. Clinic/Center 1450 E Valley Rd, Suite 101, Basalt, CO 81621-8304 2009-05-27
1497993547 Locke Aesthetics LLC Family Medicine 1450 E Valley Rd, Suite 101, Basalt, CO 81621-8304 2009-01-28
1710136395 Grace Song Physician Assistant 1450 E Valley Rd, Suite 201, Basalt, CO 81621-8304 2008-09-18
1508039926 Heidi Mitchell Physical Therapy Assistant 1450 E Valley Rd, Suite 203, Basalt, CO 81621-8304 2008-04-07
1780853085 Rachael K Wymer Physician Assistant 1450 E Valley Rd, Suite 201, Basalt, CO 81621-8304 2008-02-21
1376711135 Orthopaedic Associates of Aspen and Glenwood Specialist 1450 E Valley Rd, Ste 201, Basalt, CO 81621-8304 2008-02-14
1548448533 Orthopaedic Associates of Aspen and Glenwood Specialist 1450 E Valley Rd, Ste 201, Basalt, CO 81621-8304 2008-02-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235777889 Aspen Valley Hospital District General Acute Care Hospital 234 Cody Lane, Cardiac Rehab Basalt, Basalt, CO 81621 2019-12-13
1972925691 Kristin Lynne Werner Counselor 207 Basalt Center Circle, Suite 201, Basalt, CO 81621 2014-01-15
1831449008 Jody Powell Naturopath 189 Basalt Center Cir, Basalt, CO 81621 2012-09-14
1619274263 Marcus Blue Dentist 227 Midland Avenue, Suite C-6, Basalt, CO 81621 2011-02-17
1669790572 Win Health Institute, LLC Health Maintenance Organization 110 Midland Avenue, Suite 2, Basalt, CO 81621 2010-05-17
1730320557 Frederick Elias Persiko Counselor 23400 Two Rivers Road, #49, Basalt, CO 81621 2009-03-09
1235305467 Rachel Cherie Carey Specialist 1460 East Valley Road, Suite 101, Basalt, CO 81621 2008-05-07
1679697973 Thomas Robert Lankering Chiropractor 189 Basalt Center Circle, Basalt, CO 81621 2007-03-19
1598850166 Locke Family Medicine, LLC Family Medicine 1450 East Valley Road, Suite 101, Basalt, CO 81621 2006-10-03
1013925098 Karen Chrisholm Stevenson Physical Therapist 1450 E Valley Road, Ste 203, Basalt, CO 81621 2006-08-04
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649884057 Scl Health Medical Group - Denver, LLC Orthopaedic Surgery 1830 N Franklin St Ste 340, Denver, CO 80218-1128 2020-09-02
1700498797 Colorado Sports Medicine and Orthopaedics Orthopaedic Surgery 4500 E 9th Ave Ste 420, Denver, CO 80220-3931 2020-08-20
1033668322 University Physicians, Incorporated Orthopaedic Surgery 10103 Ridgegate Pkwy Ste 100, Cu Sports Medicine Sdh Lonetree, Lone Tree, CO 80124-5520 2016-09-27
1750763017 Ryan Jahn Orthopaedic Surgery 2150 Stadium Dr 2nd Floor, Boulder, CO 80309-1029 2015-06-23
1518353218 Valley View Hospital Association Orthopaedic Surgery 1830 Blake Ave Ste 207, Glenwood Spgs, CO 81601-4261 2015-04-09
1326276783 Thomas P Moore Md Phd PC Orthopaedic Surgery 32 Crested Mt. Way, Mt. Crested Butte, CO 81225 2009-06-24
1396919858 Stephanie Watson Mayer Orthopaedic Surgery 13123 E 16th Ave # B060, Aurora, CO 80045-7106 2008-04-16
1689889966 Orthopedic Surgery & Sports Medicine Specialist Orthopaedic Surgery 9141 Grant St Ste 10, Thornton, CO 80229-4374 2007-05-11
1023117850 Rocky Mountain Trauma Services Proff LLC Orthopaedic Surgery 13918 E Mississippi Ave, Suite 473, Aurora, CO 80012 2006-09-21
1215045133 Andrew W Parker Orthopaedic Surgery 4700 E.hale Pkwy, Ste 550, Denver, CO 80220-4053 2006-08-29
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Competitor

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City BASALT
Zip Code 81621

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Dataset Information

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.

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