SAN JUAN FAMILY MEDICINE PC (NPI# 1982623112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982623112 |
| Entity Type | Organization |
| Organization Name | SAN JUAN FAMILY MEDICINE PC |
| Practice Address |
630 E Star Ct Montrose CO 81401-6702 |
| Mailing Address |
816 S 5th St Montrose CO 81401-5765 |
| Practice Telephone | 9702400378 |
| Practice Fax Number | 9702403346 |
| Mailing Telephone | 9702493322 |
| Mailing Fax Number | 9702407976 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | KAREN J HORNBECK (OFF MGR) |
| Authorized Official Telephone | 9702406136 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 40234 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE | 620398YQUN | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 816 S 5th St, Montrose, CO 814015765 | 9702493322 | 9702407976 |
| Street Address |
630 E STAR CT |
| City | MONTROSE |
| State | CO |
| Zip Code | 81401-6702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386618593 | Stephanie Lynn Porter | Family Medicine | 630 E Star Ct, Montrose, CO 81401-6702 | 2006-02-14 |
| 1386966836 | Montrose Memorial Hospital, Inc | Internal Medicine | 630 E Star Ct, Montrose, CO 81401 | 2010-02-25 |
| 1053565937 | Montrose Lap Band PC | Surgery | 630 E Star Ct, Montrose, CO 81401-6702 | 2008-11-05 |
| 1174654891 | Black Canyon Surgeons PC | Surgery | 630 E Star Ct, Montrose, CO 81401-6702 | 2007-03-07 |
| 1861424327 | Riley D. Foreman | Internal Medicine | 630 E Star Ct, Montrose, CO 81401 | 2006-07-07 |
| 1457397028 | David Sukmin Lee | Internal Medicine | 630 E Star Ct, Montrose, CO 81401 | 2006-06-21 |
| 1144283805 | Luther Basel Weathers IIi | Internal Medicine | 630 E Star Ct, Montrose, CO 81401 | 2006-04-11 |
| 1225091937 | Charles Everett Wilkins | Internal Medicine | 630 E Star Ct, Montrose, CO 81401 | 2006-04-11 |
| 1790747376 | Judith Ann Collins | Nurse Practitioner | 630 E Star Ct, Montrose, CO 81401 | 2006-04-06 |
| 1881660470 | Abraham Kyung Ho Lee | Family Medicine | 630 E Star Ct, Montrose, CO 81401-6702 | 2006-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183008 | Gregory Lee Reynolds Jr. | Pharmacist | 16750 South Townsend, Pharmacy, Montrose, CO 81401 | 2020-07-31 |
| 1780232215 | River Valley Family Health Centers | Pharmacy | 1010 S Rio Grande, Montrose, CO 81401 | 2019-08-28 |
| 1750938585 | Thomas J Harker | Pharmacist | 1010 Rio Grande, Montrose, CO 81401 | 2019-08-26 |
| 1548821317 | Terri Elizabeth Middleton-huntley | Registered Nurse | Center for Mental Health-crisis Walk-in Clinic, 300 N. Cascade, Montrose, CO 81401 | 2019-06-24 |
| 1427515121 | Holly L Speaks | Counselor | 225 S Nevada Ave, Montrose, CO 81401 | 2019-02-28 |
| 1922521541 | Lisa M Perez | Nurse Practitioner | 725 S 4th Street, 9702407734, CO 81401 | 2017-07-25 |
| 1104355015 | Judy Carol Fletcher | Registered Nurse | 1800 Pavillion Dr, Montrose, CO 81401 | 2017-06-06 |
| 1588106405 | Lindsay Rae Greenfield | Registered Nurse | 816 S 5th St Ste B, Montrose, CO 81401 | 2016-11-09 |
| 1679957393 | Denise Wallen | Registered Nurse | 1845 S. Townsend Ave., Montrose, CO 81401 | 2015-07-13 |
| 1649538810 | Deborah Thompson | Acupuncturist | 200 So Townsend, Ste. E, Montrose, CO 81401 | 2012-04-25 |
| Find all providers in zip 81401 | ||||
| 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 |
|---|---|---|---|---|
| 1831547363 | Mountain Peaks Family Practice PC | Family Medicine | 836 S Townsend Ave Ste A, Montrose, CO 81401-4360 | 2016-05-25 |
| 1629357892 | Randal C. Shelton | Family Medicine | 836 S. Townsend Unit A, Mountain Peaks Family Practice, Montrose, CO 81401 | 2011-08-05 |
| 1528208162 | Community Memorial Hospital | Family Medicine | 100 West 4th St, Montrose, MO 64770 | 2009-02-23 |
| 1023216694 | Fred Simon | Family Medicine | 62917 Peach Rd, Montrose, CO 81401-9124 | 2007-07-05 |
| 1740486646 | Stephen Leroy Adams | Family Medicine | 1550 E Niagara Road, Montrose, CO 81401-5027 | 2007-06-26 |
| 1689897753 | John Ribadeneyra | Family Medicine | 1804 E Pavilion Pl Unit A, Montrose, CO 81401-5795 | 2007-04-10 |
| 1518024553 | Community Memorial Hospital District | Family Medicine | 100 W 4th Street, Montrose, MO 64770-9336 | 2007-01-02 |
| 1134215346 | Mountain West Family Practice PC | Family Medicine | 222 S Nevada Ave, Montrose, CO 81401-4234 | 2006-10-05 |
| 1831298876 | Robert J Van Gemert M.d., P.C. | Family Medicine | 1804 E Pavilion Place, Montrose, CO 81401 | 2006-09-22 |
| 1669410833 | Timothy Wayne Sullinger | Family Medicine | 154 Colorado Ave, Montrose, CO 81401-3651 | 2006-06-02 |
| Find all providers in MONTROSE | ||||
Please comment or provide details below to improve the information on SAN JUAN FAMILY MEDICINE 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.