MEDICARE: ROCKY MOUNTAIN ASSOCIATES IN ORTHOPEDIC MEDICINE, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CS2495	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609806314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKY MOUNTAIN ASSOCIATES IN ORTHOPEDIC MEDICINE, PC

Provider Business Mailing Address
First Line	:	4795 LARIMER PARKWAY
Second Line	:
City	:	JOHNSTOWN
State	:	CO
Zip	:	80534-9021
Country	:	US
Telephone Number	:	970-669-8881
Fax Number	:	970-669-4200

Provider Business Practice Location Address
First Line	:	4795 LARIMER PARKWAY
Second Line	:
City	:	JOHNSTOWN
State	:	CO
Zip	:	80534-9021
Country	:	US
Telephone Number	:	970-669-8881
Fax Number	:	970-669-4200

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DEANNA GOODMAN
Credential	:
Telephone Number	:	970-669-8881

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	11/06/2012

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