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SOUTHEAST FAMILY PHYSICIANS NPI 1114944121


NPI Information

NPI: 1114944121
Provider Name: SOUTHEAST FAMILY PHYSICIANS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D0510813

Address:
10099 RIDGEGATE PKWY
SUITE 340
LONE TREE, CO
ZIP 80124
Phone: (303) 706-0400
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SOUTHEAST FAMILY PHYSICIANS is a family medicine in Lone Tree, CO. The provider is 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. SOUTHEAST FAMILY PHYSICIANS NPI is 1114944121. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10099 RIDGEGATE PKWY
SUITE 340
LONE TREE, CO
ZIP 80124-531
Phone: (303) 706-0400

The provider's authorized official is Susan Pash-lohr .
The authorized official title is Managing Partner and has the following contact phone number (303) 706-0400.

The CLIA number assigned to this NPI record is 06D0510813 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/16/2006 and was last updated on 3/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SOM8308OTHERCOLORADOBLUE SHIELD
2C466588MEDICARE PINCOLORADO
3DF9202OTHERCOLORADORR MEDICARE
428585046MEDICAIDCOLORADO
55975070001MEDICARE NSCCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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