Four Corners Nephrology Associates PC
NPI 1417112178ActiveOrganization· Internal Medicine, Nephrology· Durango, CO
Internal Medicine, Nephrology in Durango, Colorado, registered in NPPES in July 2008. The authorized official on file is Billie Stolworthy, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417112178 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 22, 2008 |
| Last updated in NPPES | Mar 19, 2020 |
| Certified by provider | Mar 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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