FAMILY MEDICINE AT CLEMENT PARK (NPI# 1144381419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144381419 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICINE AT CLEMENT PARK |
| Practice Address |
6901 S Pierce St Suite 110 Littleton CO 80128-4552 |
| Practice Telephone | 3039322121 |
| Practice Fax Number | 3039486704 |
| Mailing Telephone | 3039322121 |
| Mailing Fax Number | 3039486704 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-02-20 |
| Authorized Official Name | DR. KEVIN J. BOYLE (PHYSICIAN) |
| Authorized Official Telephone | 3039322121 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
6901 S PIERCE ST SUITE 110 |
| City | LITTLETON |
| State | CO |
| Zip Code | 80128-4552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684134 | Charles Daren Carlile | Dentist | 6901 S Pierce St, Littleton, CO 80128-7202 | 2005-07-28 |
| 1831664150 | Bethany Wilson | Counselor | 6901 S Pierce St, Ste 370, Littleton, CO 80128 | 2018-10-13 |
| 1669872024 | Kim Jones | Counselor | 6901 S Pierce St, Littleton, CO 80128-4552 | 2014-09-03 |
| 1275806366 | Brian Charles Brody | Psychologist | 6901 S Pierce St, Suite 100m, Littleton, CO 80128-4552 | 2012-02-20 |
| 1326207473 | Jennifer L Sandberg | Counselor | 6901 S Pierce St, Suite 386, Littleton, CO 80128-4552 | 2008-06-04 |
| 1730396367 | Jayadevi K Seenichamy | Social Worker | 6901 S Pierce St, Ste 380, Littleton, CO 80128-4554 | 2007-05-16 |
| 1154454262 | Josie Jeanette Kirshbaum | Counselor | 6901 S Pierce St, Suite 386, Littleton, CO 80128-4552 | 2007-03-14 |
| 1720137607 | Lisa K. Kelley | Counselor | 6901 S Pierce St, #337, Littleton, CO 80128-4552 | 2007-01-09 |
| 1386718781 | Julie Rippeth, Ph.d., P.C. | Clinical Neuropsychologist | 6901 S Pierce St, Suite 380, Littleton, CO 80128-4552 | 2006-11-17 |
| 1861405615 | Kevin Boyle | Family Medicine | 6901 S Pierce St, Suite 110, Littleton, CO 80128-4552 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396399663 | Carlson Dental Pllc | Dentist | 7325 S. Pierce St Suite 200, Littleton, CO 80128 | 2019-07-25 |
| 1073073060 | Anais Christina Taylor | Student in an Organized Health Care Education/Training Program | 1960 Ogden St, Family Medicine - Bruner Family Medicine, Suite 460, Denver, CO 80128 | 2019-03-25 |
| 1033623467 | Georgia Kay Thompson | Specialist/Technologist, Other | 7575 S Everett St, Littleton, CO 80128 | 2017-11-21 |
| 1831619147 | Tori Horstmann | Speech-Language Pathologist | 7767 S Marshall Ct, Littleton, CO 80128 | 2017-06-27 |
| 1942736178 | Morgan Pamela Wilson | Physical Therapist | 6638 W Ottawa Ave # 115, Littleton, CO 80128 | 2017-05-09 |
| 1013450451 | Gabrielle O'hare | Behavioral Analyst | 8406 S Newland Ct, Littleton, CO 80128 | 2016-12-01 |
| 1528420940 | Colorado Assisted Living Homes Lamar | Assisted Living Facility | 6952 S. Lamar St, Littleton, CO 80128 | 2016-03-24 |
| 1871962407 | Jane Funke Mcgill | Counselor | 7345 S Pierce St Ste 202h2, Littleton, CO 80128 | 2015-09-24 |
| 1154712511 | Katherine Faye Shulman | Nurse Anesthetist, Certified Registered | 6968 W Nova Dr, Littleton, CO 80128 | 2015-02-06 |
| 1679823843 | Desirae Frances Kemock | Physical Therapist | 9805 W Hinsdale Pl, Littleton, CO 80128 | 2012-09-14 |
| Find all providers in zip 80128 | ||||
| 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 |
|---|---|---|---|---|
| 1538773296 | Donna Jean Nelligan | Family Medicine | 7950 S Lincoln St Ste 111, Littleton, CO 80122-2727 | 2020-09-01 |
| 1700358645 | Mednow Clinics, Inc | Family Medicine | 7261 S Broadway Ste 101, Littleton, CO 80122-8018 | 2018-12-17 |
| 1588017446 | Genevieve Mary Kelley | Family Medicine | 580 Saint Johnsbury Rd Ste K, Littleton, NH 03561 | 2016-07-15 |
| 1710348818 | Centennial Family Care PC | Family Medicine | 7261 S Broadway Ste 101a, Littleton, CO 80122-8018 | 2016-03-16 |
| 1710342670 | Constance Azubuike | Family Medicine | 4418 S Independence Ct, Littleton, CO 80123-1173 | 2015-12-19 |
| 1427390756 | Peter Yi Zhao | Family Medicine | 830 Constitution Ave, Littleton, MA 01460-1137 | 2013-03-25 |
| 1508114349 | Lawrence Frerker Md PC | Family Medicine | 7363 South Costilla Court, Littleton, CO 80120 | 2012-08-28 |
| 1164792743 | Portercare Adventist Health System | Family Medicine | 6901 South Pierce St., Suite 110, Littleton, CO 80128 | 2012-01-12 |
| 1275822934 | Rebecca Marie Bub | Family Medicine | 13402 W Coal Mine Ave Ste 250, Littleton, CO 80127-5409 | 2011-04-04 |
| 1740508365 | Zachary John Engelbert | Family Medicine | 7761 Shaffer Pkwy Ste 225, Littleton, CO 80127 | 2010-05-06 |
| Find all providers in LITTLETON | ||||
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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.