Provider Type Icon

SHALOM PARK PROFESSIONAL SERVICES LLC NPI 1528232402


NPI Information

NPI: 1528232402
Provider Name: SHALOM PARK PROFESSIONAL SERVICES LLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
14800 E BELLEVIEW DRIVE
AURORA, CO
ZIP 80015
Phone: (303) 680-5000
Get Directions

SHALOM PARK PROFESSIONAL SERVICES LLC is a geriatric medicine internal medicine in Aurora, CO. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. SHALOM PARK PROFESSIONAL SERVICES LLC NPI is 1528232402. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14800 E BELLEVIEW DRIVE
AURORA, CO
ZIP 80015-258
Phone: (303) 680-5000
Fax: (303) 699-4300

The provider's authorized official is Dan Stenersen .
The authorized official title is Ceo and has the following contact phone number (303) 680-5000.

The enumeration date for this NPI number is 4/22/2008 and was last updated on 3/18/2009.


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
1207RG0300XInternal MedicineGeriatric Medicine1565633COLORADOYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.