COLORADO MOUNTAIN MEDICAL, PC
NPI 1083675102
Family Medicine in Avon, CO

Q: What is Colorado Mountain Medical, PC's NPI number?

The NPI number for Colorado Mountain Medical, PC is 1083675102. It was assigned to this organization in the NPPES registry on March 29, 2006.

Q: What is Colorado Mountain Medical, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 29, 2006

50 BUCK CREEK ROAD, SUITE 200, AVON, CO 81620(970) 926-6340(970) 926-6348 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Colorado Mountain Medical, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLORADO MOUNTAIN MEDICAL, PC (NPI 1083675102) is a healthcare organization registered as a family medicine in Avon, Colorado and active in the NPI registry since March 2006. The organization lists Janet Engle, President, as its authorized official.

NPPES Registry Identity

NPI1083675102

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCOLORADO MOUNTAIN MEDICAL, PC

Location Address50 BUCK CREEK ROAD, SUITE 200Avon, CO 81620

Mailing AddressPo Box 5850, C/o Credentialing - Lisa KerstiensEagle, CO 81631-5850 · (970) 926-6340 · Fax (970) 926-6348

Phone(970) 926-6340

Fax(970) 926-6348

Organization SubpartNo

Authorized OfficialJanet EnglePresident · (970) 926-6340

Enumeration DateMarch 29, 2006

Last NPPES UpdateSeptember 29, 2016

✔ NPI 1083675102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPediatricsTaxonomy 208000000X

50 BUCK CREEK ROAD, Avon, CO 81620

Open in Google Maps ↗

Other Identifiers 2

Medicare PINCH340-8CO

Medicaid04005617CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN J MOHR MD

Urology

50 BUCK CREEK ROAD, SUITE 200
AVON, CO 81620

Eagle County (970) 926-6340

AVON EMERGENCY AND URGENT CARE CENTER, LLC

Clinic/Center (Emergency Care)

50 BUCK CREEK ROAD
AVON, CO 81620

Eagle County (970) 668-7000

DANA WALENTA NP

Nurse Practitioner (Family)

50 BUCK CREEK ROAD, SUITE 200
AVON, CO 81620

Eagle County (970) 926-6340

KEITH PHILLIPS SAMUELS M.D.

Obstetrics & Gynecology

50 BUCK CREEK ROAD, SUITE 200
AVON, CO 81620

Eagle County (970) 926-6340

JENNIFER L. POPE PA-C

Physician Assistant

50 BUCK CREEK ROAD, SUITE 200
AVON, CO 81620

Eagle County (970) 926-6340

JENNIFER L. BOULDRY LCSW

Social Worker (Clinical)

50 BUCK CREEK ROAD, SUITE 200
AVON, CO 81620

Eagle County (970) 926-6340

DR. BROOKS F BOCK M.D.

Emergency Medicine (Emergency Medical Services)

50 BUCK CREEK ROAD, SUITE 200
AVON, CO 81620

Eagle County (970) 926-6340

CARLY KLEIMAN PA

Physician Assistant

50 BUCK CREEK ROAD, SUITE 200
AVON, CO 81620

Eagle County (970) 926-6340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colorado Mountain Medical, PC's NPI number?

The NPI number for Colorado Mountain Medical, PC is 1083675102. It was assigned to this organization in the NPPES registry on March 29, 2006.

Where is Colorado Mountain Medical, PC located?

Colorado Mountain Medical, PC is located at 50 Buck Creek Road Suite 200, Avon, CO 81620. The listed phone number is (970) 926-6340.

What is Colorado Mountain Medical, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Colorado Mountain Medical, PC was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.