Organization Active NPI

Foothills Medical Associates PLLC

Doing business as 20 Mile Family Medicine

  • Family Medicine Physician
  • Parker, CO
National Provider Identifier
1013031400
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41775 Issued in CO
Legal business name
FOOTHILLS MEDICAL ASSOCIATES PLLC
Doing business as
20 Mile Family Medicine
Practice address
11355 S Parker Rd Ste 103
Parker, CO 80134-7403
Phone
(303) 974-7210
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Stephen Craig Morrison, D,O.NPI 1104901180
Title
Medical Director
Phone
(720) 974-7210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 41775 CO Primary

Addresses

Primary practice location

11355 S Parker Rd Ste 103
Parker, CO 80134-7403

Mailing address

11355 S Parker Rd Ste 103
Parker, CO 80134-7403
Phone (303) 974-7210

Other names 1

  • 20 Mile Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080822000230 CO Part B Supplier - Clinic/Group Practice 2062516909 Receives reassigned benefits from 1 practitioner
Practice locations: Parker, CO

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1013031400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11355 S PARKER RD STE 103",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347403",
            "telephone_number": "303-974-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11355 S PARKER RD STE 103",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347403",
            "telephone_number": "303-974-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "720-974-7210",
        "authorized_official_credential": "D,O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20 Mile Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.