{
  "npi": "1730747445",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "DIANE",
    "authorized_official_last_name": "VOYTKO",
    "authorized_official_telephone_number": "9709266340",
    "authorized_official_title_or_position": "Physician",
    "certification_date": "2026-07-02",
    "enumeration_date": "2019-05-29",
    "last_updated": "2026-07-02",
    "organization_name": "COLORADO MOUNTAIN MEDICAL, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "50 BUCK CREEK RD STE 200",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "AVON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "970-926-6348",
      "postal_code": "816205444",
      "state": "CO",
      "telephone_number": "970-926-6340"
    },
    {
      "address_1": "PO BOX 4330",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "AVON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "816204330",
      "state": "CO",
      "telephone_number": "970-845-2903"
    }
  ],
  "taxonomies": [
    {
      "code": "207V00000X",
      "desc": "Obstetrics & Gynecology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207N00000X",
      "desc": "Dermatology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208000000X",
      "desc": "Pediatrics",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208800000X",
      "desc": "Urology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207R00000X",
      "desc": "Internal Medicine",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207RC0000X",
      "desc": "Internal Medicine, Cardiovascular Disease",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207Y00000X",
      "desc": "Otolaryngology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207RN0300X",
      "desc": "Internal Medicine, Nephrology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207RG0100X",
      "desc": "Internal Medicine, Gastroenterology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "261QM1300X",
      "desc": "Clinic/Center, Multi-Specialty",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "70",
        "medicare_type": "Clinic or Group Practice"
      }
    ]
  }
}