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NPI Profile for ST MARYS HOSPITAL AND MEDICAL CENTER INC in GRAND JUNCTION, CO.
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Hospitalist |
208M00000X | |||
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Maternal & Fetal Medicine |
207VM0101X | 16 | Physician/Obstetrics & Gynecology | |
Nephrology |
207RN0300X | 11 | Physician/Internal Medicine | |
Neurological Surgery |
207T00000X | 02 | Physician/General Surgery | |
Occupational Medicine |
2083X0100X | 84 | Physician/Preventive Medicine | |
Pediatric Cardiology |
2080P0202X | 37 | Physician/Pediatric Medicine | |
Pediatric Surgery |
2086S0120X | 02 | Physician/General Surgery | |
Physical Medicine & Rehabilitation |
208100000X | 25 | Physician/Physical Medicine and Rehabilitation | |
Plastic Surgery |
208200000X | 02 | Physician/General Surgery | |
Thoracic Surgery (Cardiothoracic Vascular Surgery) |
208G00000X | 02 | Physician/General Surgery | |
Trauma Surgery |
2086S0127X | 02 | Physician/General Surgery | |
Undersea and Hyperbaric Medicine |
207PE0005X | 93 | Physician/Emergency Medicine |
| NPI # | 1275714081 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/20/2007 | |
| Last updated | 12/10/2019 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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| NORWOOD FAMILY MEDICINE PC 1175 GRAND AVE. NORWOOD, CO |
ST MARY'S HOSPITAL AND MEDICAL CENTER, INC