RANDAL C. SHELTON (NPI# 1629357892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629357892 |
| Entity Type | Individual |
| Full Name | RANDAL C. SHELTON |
| Credential | DO |
| Practice Address |
836 S. Townsend Unit A Mountain Peaks Family Practice Montrose CO 81401 |
| Mailing Address |
300 S Nevada Avenue Montrose CO 81401 |
| Practice Telephone | 9706159120 |
| Practice Fax Number | 9702401139 |
| Mailing Telephone | 9702497751 |
| Mailing Fax Number | 9702495029 |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2017-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DR.0053162 | CO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 172631 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE B PTAN FOR MTN PEAKS FAMILY PRACTICE | 349127ZV3Y | 01 |
| CO | MEDICARE PTAN SAN JUAN FAMILY MEDICINE | 349127YTYK | 01 |
| CO | 91737818 | 05 | |
| CO | RAILROAD WORKERS MEDICARE FOR CEDAREDE DOCTOR'S OFFICE | P01382230 | 01 |
| CO | MEDICARE B PTAN FOR LBN: OLATHE COMMUNITY CLINIC | 349127YS6E | 01 |
| RAILROAD WORKERS MEDICARE FOR MTN PEAKS FAMILY PRACTICE | P01721833 | 01 |
| Street Address |
836 S. TOWNSEND UNIT A MOUNTAIN PEAKS FAMILY PRACTICE |
| City | MONTROSE |
| State | CO |
| Zip Code | 81401 |
| 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 |
| 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 |
| 1386618593 | Stephanie Lynn Porter | Family Medicine | 630 E Star Ct, Montrose, CO 81401-6702 | 2006-02-14 |
| Find all providers in MONTROSE | ||||
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| 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.