Alpine Ear, Nose and Throat, PC
NPI 1790720464ActiveOrganization· Otolaryngology· Fort Collins, CO
Otolaryngology in Fort Collins, Colorado, registered in NPPES in June 2006. The authorized official on file is Lori Mooney-Malone, Practice Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790720464 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 18, 2006 |
| Last updated in NPPES | Jul 16, 2025 |
| Certified by provider | Jul 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | — | — |
| Otolaryngology, Otolaryngology/Facial Plastic Surgery | 207YX0905X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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