NPIMap

Organization Active NPI

Potomac Square Family Medicine, LLC

  • Primary Care Clinic/Center
  • Denver, CO
National Provider Identifier
1083366124
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
POTOMAC SQUARE FAMILY MEDICINE, LLC
Practice address
300 S Jackson St Ste 100
Denver, CO 80209-3183
Phone
(303) 321-0222
NPI assigned
Jan 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Tresa Switzer
Title
Operations Controller
Phone
(303) 341-4730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

300 S Jackson St Ste 100
Denver, CO 80209-3183

Mailing address

PO Box 173848
Denver, CO 80217-3848
Phone (303) 945-3299

Other names 1

  • Potomac Square Family Medicine Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1083366124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173848",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173848",
            "telephone_number": "303-945-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093183",
            "telephone_number": "303-321-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC SQUARE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "SWITZER",
        "authorized_official_first_name": "TRESA",
        "authorized_official_title_or_position": "OPERATIONS CONTROLLER",
        "authorized_official_telephone_number": "303-341-4730"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potomac Square Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.