Geriatric and Family Medicine

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

3336 Issued in CO

Legal business name

GERIATRIC AND FAMILY MEDICINE

Practice address

8015 W Alameda Ave
210
Lakewood, CO 80226-3041

Phone

(303) 742-0086

Fax

(303) 742-0690

NPI assigned

Dec 19, 2011

Last updated

Dec 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Fishman, MD

Title

Owner

Phone

(303) 742-0086

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Haidi Garlick Demain, MD

  • Internal Medicine Physician
  • Lakewood, CO
  • NPI 1528105806
  NPD (past)
• Mary Roatch, P.A.

  • Physician Assistant
  • Denver, CO
  • NPI 1720359797
  NPD (past)
• Candace Rae Shockey, NP

  • Nurse Practitioner
  • Lakewood, CO
  • NPI 1629185715
  NPD (past)

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1063781250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2582 S INDEPENDENCE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802272846",
            "telephone_number": "303-883-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 W ALAMEDA AVE",
            "address_2": "210",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263041",
            "telephone_number": "303-742-0086",
            "fax_number": "303-742-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC AND FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-742-0086",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CO",
            "license": "3336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurio Genova, QBHA
• Stephen G George, M.D.
• Jacqueline Georgiana, LCSW
• Elizabeth Katherine Gerber, BCBA
• Geri-Care Inc (Grand Oaks Care Center)
• Geriatric Medicine Associates, PC (SHCW Senior West)
• Isabelle Germain
• Olga Gershovich, RPH
• Gestalt Psychotherapy Associates (Marcia Cross LCSW d/b/a)
• Sydney Claire Gettel, PA-C, PTA

• Nursing Facility/Intermediate Care Facility in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Nursing Facility/Intermediate Care Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.