NPIMap

Individual provider Active NPI

Lorraine Pan, MD

  • Anatomic Pathology Physician
  • Arvada, CO
National Provider Identifier
1063693646
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
DR.0054137 Issued in CO
Practice address
6750 W 52ND Ave
Arvada, CO 80002-3956
Phone
(720) 898-3300
Fax
(720) 898-3333
NPI assigned
Nov 24, 2007
Last updated
Aug 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X DR.0054137 CO
Anatomic Pathology Physician 207ZP0101X DR.0054137 CO Primary

Addresses

Primary practice location

6750 W 52ND Ave
Arvada, CO 80002-3956

Mailing address

700 Colorado Blvd
#709
Denver, CO 80206-4084
Phone (917) 543-9234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140926001621 CO Practitioner - Pathology 8729208624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
New York University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1024 Central Park Dr
Steamboat SPR, CO 80487-8813
Phone (970) 871-2350

12911 W 40TH Ave
Lutheran Hospital
Wheat Ridge, CO 80401-2696
Phone (877) 701-8188

1375 E 19TH Ave
Denver, CO 80218-1114
Phone (303) 812-3610

1600 Prairie Ctr Pkwy
Brighton, CO 80601-4006
Phone (877) 701-8188

200 Exempla Circle
Exempla Good Sam Med Center Pathology Dept
Lafayette, CO 80026-3370
Phone (877) 701-8188

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Pathology Consultants PC CurrentSince Aug 4, 2014 Accepting new patients
Colorado Pathology Consultants PC CurrentSince Aug 4, 2014 Accepting new patients
Colorado Pathology Consultants PC Past Accepting new patients

Locations

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

695 S Broadway
Ste 100
Denver, CO 80209
Phone (303) 899-6900

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1195862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1063693646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COLORADO BLVD",
            "address_2": "#709",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064084",
            "telephone_number": "917-543-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 W 52ND AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023956",
            "telephone_number": "720-898-3300",
            "fax_number": "720-898-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "LORRAINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-24",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CO",
            "license": "DR.0054137",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CO",
            "license": "DR.0054137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.