DOUGLAS ROY BAGGE (NPI# 1891765020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891765020 |
| Entity Type | Individual |
| Full Name | DOUGLAS ROY BAGGE |
| Credential | MD |
| Practice Address |
1311a N Mildred Rd Ste A Cortez CO 81321-3121 |
| Mailing Address |
1311a N Mildred Rd Cortez CO 81321-2231 |
| Practice Telephone | 9705642681 |
| Practice Fax Number | 9705642682 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2019-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 34570 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01345701 | 05 |
| Street Address |
1311A N MILDRED RD STE A |
| City | CORTEZ |
| State | CO |
| Zip Code | 81321-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853013 | Kevin M Matteson | Surgery | 1311a N Mildred Rd, Ste A, Cortez, CO 81321-2231 | 2005-06-29 |
| 1720548902 | Melissa Evon Sims | Nurse Practitioner | 1311a N Mildred Rd, Cortez, CO 81321-2231 | 2019-03-22 |
| 1760948897 | Sara Barrett | Social Worker | 1311a N Mildred Rd, Cortez, CO 81321-2231 | 2019-02-13 |
| 1295209211 | Caitlin Mooney | Physician Assistant | 1311a N Mildred Rd, Cortez, CO 81321-2231 | 2019-01-12 |
| 1235655838 | Southwest Health System, Inc. | Clinic/Center | 1311a N Mildred Rd, Ste. A, Cortez, CO 81321 | 2017-08-16 |
| 1750825964 | Erick Ireland | Physician Assistant | 1311a N Mildred Rd, Cortez, CO 81321-2231 | 2016-12-06 |
| 1699159178 | Jason Mack Eversole | Family Medicine | 1311a N Mildred Rd, Cortez, CO 81321 | 2015-07-15 |
| 1437596103 | Braden Jones | Orthopaedic Surgery | 1311a N Mildred Rd, Ste A, Cortez, CO 81321-2231 | 2013-06-04 |
| 1811231830 | Pamela Kay Clark | Nurse Practitioner | 1311a N Mildred Rd, Cortez, CO 81321-2231 | 2012-11-15 |
| 1639422801 | Nicholas E Preston | Nurse Practitioner | 1311a N Mildred Rd, Cortez, CO 81321-2231 | 2012-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326667429 | Laurilyn Balfour Sturdevant | Dental Hygienist | 101 N Maple, Cortez, CO 81321 | 2020-04-09 |
| 1306231642 | Mesa View Retirement Home Inc. | Assisted Living Facility | 24760 County Road G, Cortez, CO 81321 | 2015-04-03 |
| 1528464765 | Patricia Nelson | Counselor | 691 E. Empire St., Cortez, CO 81321 | 2014-11-17 |
| 1417366808 | Summit Family Dental of Cortez, Pllc | Dentist | 111 S Sligo, Building A, Cortez, CO 81321 | 2014-08-11 |
| 1528480571 | Kelly Ogle | Registered Nurse | 17575 Road G, Cortez, CO 81321 | 2014-01-10 |
| 1316378821 | Beth A. Carter | Registered Nurse | 106 West North Street, Cortez, CO 81321 | 2013-12-09 |
| 1538596614 | Michael Daniel Grajeda | Physical Therapist | 111 N Park St Ste B, Cortez, CO 81321 | 2013-10-03 |
| 1275879876 | April L. Randle Md Inc | Internal Medicine | 215 Linden St, Suite D, Cortez, CO 81321 | 2012-12-31 |
| 1376827998 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 691 East Empire, Cortez, CO 81321 | 2011-09-30 |
| 1770879850 | Mark Holton | Marriage & Family Therapist | 1399 Cochita St, Cortez, CO 81321 | 2011-06-27 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275894461 | Evan Matthew Tavakoli | Orthopaedic Surgery | 20 S Market St Ste 2, Cortez, CO 81321-3502 | 2012-06-04 |
| 1790971679 | Mac Wyman Md PC | Orthopaedic Surgery | 1280 N Mildred Rd Ste 1, Cortez, CO 81321-2212 | 2007-09-24 |
| 1437596103 | Braden Jones | Orthopaedic Surgery | 1311a N Mildred Rd, Ste A, Cortez, CO 81321-2231 | 2013-06-04 |
| 1730171620 | Edwin Mackenzie Wyman | Orthopaedic Surgery | 1280 N Mildred Rd, Ste 1, Cortez, CO 81321-2212 | 2005-08-17 |
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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.