NPIMap

Organization Active NPI

Exempla, Inc (St. Joseph Hospital)

Doing business as ESJH Family Practice

  • Family Medicine Physician
  • Wheat Ridge, CO
National Provider Identifier
1003863150
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EXEMPLA, INC (ST. JOSEPH HOSPITAL)
Doing business as
ESJH Family Practice
Practice address
8300 W 38TH Ave
2ND Floor, Epn Cred
Wheat Ridge, CO 80033-6005
Phone
(303) 403-3880
Fax
(303) 425-8111
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Harold Edward Borgstrom Jr.
Title
Cfo
Phone
(303) 837-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8300 W 38TH Ave
2ND Floor, Epn Cred
Wheat Ridge, CO 80033-6005

Mailing address

8300 W 38TH Ave
2ND Floor, Epn Cred
Wheat Ridge, CO 80033-6005
Phone (303) 403-3880

Other names 1

  • ESJH Family Practice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Denver Health Medical Centre15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

8300 W 38th Ave
Fl 2
Wheat Ridge, CO 80033
Phone (303) 403-3880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003863150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W 38TH AVE",
            "address_2": "2ND FLOOR, EPN CRED",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336005",
            "telephone_number": "303-403-3880",
            "fax_number": "303-425-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W 38TH AVE",
            "address_2": "2ND FLOOR, EPN CRED",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336005",
            "telephone_number": "303-403-3880",
            "fax_number": "303-425-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXEMPLA, INC (ST. JOSEPH HOSPITAL)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORGSTROM",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-837-7111",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESJH Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.