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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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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