SOUTH FEDERAL FAMILY PRACTICE (NPI# 1417175514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417175514 |
Entity Type | Organization |
Organization Name | SOUTH FEDERAL FAMILY PRACTICE |
Practice Address |
1930 S Federal Blvd #a Denver CO 80219-5580 |
Practice Telephone | 3039342202 |
Practice Fax Number | 3039341473 |
Mailing Telephone | 3039342202 |
Mailing Fax Number | 3039341473 |
Enumeration Date | 2007-04-23 |
Last Update Date | 2014-09-09 |
Authorized Official Name | ROY J. DURBIN (MEDICAL DIRECTOR) |
Authorized Official Telephone | 3039342202 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 034303260 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | SOUTH FEDERAL FAMILY PRACTICE, P.C. | 1930 S Federal Blvd, Bldg A, Denver, CO 80219 |
Street Address |
1930 S FEDERAL BLVD #A |
City | DENVER |
State | CO |
Zip Code | 80219-5580 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255333076 | Larry S Fisher | Internal Medicine | 1930 S Federal Blvd, Denver, CO 80219-5501 | 2005-08-11 |
1609257047 | Markelles Md LLC | Internal Medicine | 1930 S Federal Blvd, Denver, CO 80219-5501 | 2015-06-11 |
1851708861 | Bwana, LLC | Internal Medicine | 1930 S Federal Blvd, Denver, CO 80219-5501 | 2014-07-22 |
1740610930 | Colorado Podiatry Consultants PC | Podiatrist | 1930 S Federal Blvd, Suite#a, Denver, CO 80219-5501 | 2013-11-25 |
1780928564 | Care Smiles Orthodontics | Dentist | 1930 S Federal Blvd, Building C, Denver, CO 80219-5501 | 2012-11-19 |
1861671034 | Raymond E Garrett Md PC | Internal Medicine | 1930 S Federal Blvd, Denver, CO 80219-5501 | 2007-10-24 |
1306038161 | Colorado Permanente Neonatal Physicians | Pediatrics | 1930 S Federal Blvd, #210, Denver, CO 80219-5501 | 2007-08-15 |
1427143510 | Carol Sue Maslyn | Nurse Practitioner | 1930 S Federal Blvd, Denver, CO 80219-5501 | 2006-10-04 |
1619078474 | Raymond E Garrett | Internal Medicine | 1930 S Federal Blvd, Denver, CO 80219-5501 | 2006-09-26 |
1013928092 | Mark E Elles | Internal Medicine | 1930 S Federal Blvd, Denver, CO 80219-5501 | 2006-08-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023632239 | Iora Health Colorado, P.C. | Internal Medicine | 730 S Federal Blvd, Denver, CO 80219 | 2020-06-03 |
1174099857 | I Have A Dream Foundation - Colorado | Psychologist | Strive Prep - Ruby Hill, 2626 W. Evans Ave, Denver, CO 80219 | 2018-10-19 |
1326534892 | Natalie Gates | Lactation Consultant, Non-RN | 2690 S King St, Denver, CO 80219 | 2018-07-07 |
1447776604 | James Cheang | Pharmacist | 557 Burbank St., Suite Q, Broomfield, CO 80219 | 2017-08-19 |
1447784954 | Richelle Shimek | Speech-Language Pathologist | 3105 W. Arkansas Ave, Denver, CO 80219 | 2017-04-12 |
1760888259 | Leslie Seger | Registered Nurse | 2049 S Julian Circle, Denver, CO 80219 | 2014-11-10 |
1134534449 | Genesis Rehabilitation | Skilled Nursing Facility | 3105 West Arkansas Avenue, Denver, CO 80219 | 2014-06-25 |
1043644347 | Michelle Rose Shiffman | Pediatrics | Federico Pena Southwest Family Health Center, 1339 S. Federal Blvd, Denver, CO 80219 | 2013-08-23 |
1750724761 | Myhao Pham | Pharmacist | 5125 W Florida, Denver, CO 80219 | 2013-04-09 |
1992043012 | Nathan Alan Peterson | Chiropractor | 50 S. Federal Blvd, Denver, CO 80219 | 2013-01-24 |
Find all providers in zip 80219 |
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 |
---|---|---|---|---|
1295334308 | Emily Laura Milligan | Family Medicine | 1032 E 14th Ave Apt 4, Denver, CO 80218-1923 | 2020-10-20 |
1043826795 | Alegis Care of Colorado LLC | Family Medicine | 2000 S Colorado Blvd Ste 1100, Denver, CO 80222-7957 | 2020-09-18 |
1790390821 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 10405 Martin Luther King Blvd Ste 120, Denver, CO 80238-2399 | 2020-09-15 |
1316551716 | Scl Health Medical Group - Denver, LLC | Family Medicine | 400 S Colorado Blvd Ste 900, Denver, CO 80246-1241 | 2020-09-02 |
1760095939 | Scl Health Medical Group - Denver, LLC | Family Medicine | 4859 N Yampa St, Denver, CO 80249 | 2020-08-28 |
1760092001 | Bridget Mucha | Family Medicine | 3595 W 29th Ave Apt 29, Denver, CO 80211-3667 | 2020-08-02 |
1073131660 | New West Physicians, P.C. | Family Medicine | 7550 W Yale Ave Bldg B, Denver, CO 80227-3465 | 2020-07-09 |
1356962849 | Summit Primary Care | Family Medicine | 850 E Harvard Ave Ste 310, Denver, CO 80210-5073 | 2020-05-06 |
1902426828 | Rebecca Andrie | Family Medicine | 295 E Speer Blvd, Denver, CO 80203-3578 | 2020-04-21 |
1598390247 | Mvc Colorado PC | Family Medicine | 6795 E Tennessee Ave Ste 175, Denver, CO 80224-1646 | 2020-03-03 |
Find all providers in DENVER |
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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.