PEDIATRIC PARTNERS OF THE SOUTHWEST
NPI 1083717219
Pediatrics in Durango, CO

Active since September 06, 2006CLIA Certified · 3 labs
810 EAST 3RD ST, SUITE #301, PEDIATRIC PARTNERS OF THE SOUTHWEST, DURANGO, CO 81301(970) 375-0100(970) 375-9210 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Partners Of The Southwest NPPES

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

PEDIATRIC PARTNERS OF THE SOUTHWEST (NPI 1083717219) is a healthcare organization registered as a pediatrics in Durango, Colorado and active in the NPI registry since September 2006. The organization holds 3 active CLIA laboratory certificates and lists Martha Cecile Fraley, Physician Administrator/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1083717219
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC PARTNERS OF THE SOUTHWEST
Location Address810 EAST 3RD ST, SUITE #301, PEDIATRIC PARTNERS OF THE SOUTHWESTDurango, CO 81301
Mailing Address810 East 3rd St Suite #301, Pediatric Partners Of The SouthwestDurango, CO 81301 · (970) 375-0100 · Fax (970) 375-9210
Fax(970) 375-9210
Organization SubpartNo
Authorized OfficialMartha Cecile FraleyPhysician Administrator/ Ceo · (970) 375-0100
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 29, 2023
NPI 1083717219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CO · 33703
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Other Identifiers 4

Medicaid01337039CO
Medicaid40373037CO
Medicaid66033721CO
Medicaid948.84.315CO

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

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D1040724

Pediatric Partners Of The Southwest · Durango, CO
Active · expires May 16, 2027
CLIA Number06D1040724
Laboratory TypePhysician Office
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorDr. Martha C. Fraley
Laboratory Phone(970) 375-0100
Laboratory LocationPediatric Partners Of The Southwest810 E 3rd St, Suite 301, Durango, CO 81301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D2165966

Pediatric Partners Of The Southwest · Durango, CO
Active · expires May 7, 2027
CLIA Number06D2165966
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorDr. Martha C. Fraley
Laboratory Phone(970) 375-0100
Laboratory LocationPediatric Partners Of The Southwest2390 Main Avenue, Durango, CO 81301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D2155221

Pediatric Partners Of The Southwest · Bayfield, CO
Active · expires Sep 24, 2026
CLIA Number06D2155221
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorDr. Kimberly J. Caruso
Laboratory Phone(970) 375-0100
Laboratory LocationPediatric Partners Of The Southwest658 S East St, Bayfield, CO 81122
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Pediatrics
810 EAST 3RD ST, SUITE #301, PEDIATRIC PARTNERS OF THE SOUTHWEST
DURANGO, CO 81301
Pediatrics
810 EAST 3RD ST, SUITE #301, PEDIATRIC PARTNERS OF THE SOUTHWEST
DURANGO, CO 81301
Pediatrics
810 EAST 3RD ST, SUITE #301, PEDIATRIC PARTNERS OF THE SOUTHWEST
DURANGO, CO 81301
Pediatrics
810 EAST 3RD ST, SUITE #301, PEDIATRIC PARTNERS OF THE SOUTHWEST
DURANGO, CO 81301
Pediatrics
810 EAST 3RD ST, SUITE #301, PEDIATRIC PARTNERS OF THE SOUTHWEST
DURANGO, CO 81301
Pediatrics
810 EAST 3RD ST, SUITE #301, PEDIATRIC PARTNERS OF THE SOUTHWEST
DURANGO, CO 81301
Pediatrics
810 EAST 3RD ST, SUITE #301, PEDIATRIC PARTNERS OF THE SOUTHWEST
DURANGO, CO 81301

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 Pediatric Partners Of The Southwest's NPI number?

The NPI number for Pediatric Partners Of The Southwest is 1083717219. It was assigned to this organization in the NPPES registry on September 6, 2006.

Where is Pediatric Partners Of The Southwest located?

Pediatric Partners Of The Southwest is located at 810 East 3rd St, Suite #301 Pediatric Partners Of The Southwest, Durango, CO 81301. The listed phone number is (970) 375-0100.

What is Pediatric Partners Of The Southwest's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatric Partners Of The Southwest hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pediatric Partners Of The Southwest was last updated on June 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.