Organization Active NPI

Heritage Hills Family Medicine, P.C

  • Family Medicine Physician
  • Lone Tree, CO
National Provider Identifier
1023277944
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HERITAGE HILLS FAMILY MEDICINE, P.C
Practice address
9218 Kimmer Dr
Suite 102
Lone Tree, CO 80124-6732
Phone
(303) 792-3333
Fax
(303) 792-3361
NPI assigned
Jun 5, 2008
Last updated
Oct 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Andreas J Edrich, M.D.NPI 1982665568
Title
Owner
Phone
(303) 792-3333

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
General Acute Care Hospital 282N00000X 37249 CO

Addresses

Primary practice location

9218 Kimmer Dr
Suite 102
Lone Tree, CO 80124-6732

Mailing address

9218 Kimmer Dr
Suite 102
Lone Tree, CO 80124-6732
Phone (303) 792-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311000692 CO Part B Supplier - Clinic/Group Practice 6002705878 Receives reassigned benefits from 4 practitioners
Practice locations: Centennial, CO

National Provider Directory

National Provider Directory

Locations

7200 E Dry Creek Rd
Ste F103
Centennial, CO 80112
Phone (303) 792-3333

9218 Kimmer Dr
Ste 102
Lone Tree, CO 80124
Phone (303) 792-3333

Practitioners & affiliated clinicians

Practitioners 8

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": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1023277944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9218 KIMMER DR",
            "address_2": "SUITE 102",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246732",
            "telephone_number": "303-792-3333",
            "fax_number": "303-792-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9218 KIMMER DR",
            "address_2": "SUITE 102",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246732",
            "telephone_number": "303-792-3333",
            "fax_number": "303-792-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HILLS FAMILY MEDICINE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "EDRICH",
        "authorized_official_first_name": "ANDREAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-792-3333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CO",
            "license": "37249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.