Organization Active NPI

Mark Perea MD PC

  • Family Medicine Physician
  • Lone Tree, CO
National Provider Identifier
1063541969
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37293 Issued in CO
Legal business name
MARK PEREA MD PC
Practice address
9894 Rosemont Ave Ste 103
Lone Tree, CO 80124-4103
Phone
(303) 792-0799
NPI assigned
Mar 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Mark Perea, M.D.NPI 1225092414
Title
Owner
Phone
(303) 792-0799

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 Physician 207Q00000X 37293 CO Primary

Addresses

Primary practice location

9894 Rosemont Ave Ste 103
Lone Tree, CO 80124-4103

Mailing address

9894 Rosemont Ave Ste 103
Lone Tree, CO 80124-4103
Phone (303) 792-0799

National Provider Directory

National Provider Directory

Locations

9894 Rosemont Ave
Ste 103
Lone Tree, CO 80124
Phone (303) 790-1450

Practitioners & affiliated clinicians

Practitioners 1

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063541969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9894 ROSEMONT AVE STE 103",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801244103",
            "telephone_number": "303-792-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9894 ROSEMONT AVE STE 103",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801244103",
            "telephone_number": "303-792-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK PEREA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-792-0799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "37293",
            "primary": true
        }
    ],
    "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 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.