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C. KEITH FUJISAKI MD PC NPI 1093780918


NPI Information

NPI: 1093780918
Provider Name: C. KEITH FUJISAKI MD, PC

Doing Business As: SPORTS MEDICINE OF THE ROCKIES

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3455 LUTHERAN PKWY
SUITE 210
WHEAT RIDGE, CO
ZIP 80033
Phone: (303) 403-7340
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C. KEITH FUJISAKI MD, PC is a specialist in Wheat Ridge, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. C. KEITH FUJISAKI MD, PC NPI is 1093780918. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sports Medicine Of The Rockies.

The provider's business location address is:

3455 LUTHERAN PKWY
SUITE 210
WHEAT RIDGE, CO
ZIP 80033-017
Phone: (303) 403-7340
Fax: (303) 403-7347

The provider's authorized official is Charles Keith Fujisaki .
The authorized official title is President and has the following contact phone number (303) 403-7340.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 10/26/2009.


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
1174400000XSpecialist29370COLORADOYes

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
1=========01OTHERCOLORADOPACIFICARE
2FUA29319OTHERCOLORADOBLUE CROSS BLUE SHIELD
34213838OTHERCOLORADOAETNA
4E86496MEDICARE UPINCOLORADO
520872771MEDICAIDCOLORADO
6C505728MEDICARE PINCOLORADO
7104267500OTHERCOLORADOFEDERAL WORKMAN'T COMP
8P00049979OTHERCOLORADORAIL ROAD MEDICARE
9=========002OTHERCOLORADOROCKY MOUNTAIN HMO

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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