C. Keith Fujisaki MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

29370 Issued in CO

Legal business name

C. KEITH FUJISAKI MD, PC

Doing business as

Sports Medicine of the Rockies

Practice address

3455 Lutheran Pkwy
Suite 210
Wheat Ridge, CO 80033-6017

Phone

(303) 403-7340

Fax

(303) 403-7347

NPI assigned

Feb 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Keith Fujisaki, M.D.NPI 1043285893

Title

President

Phone

(303) 403-7340

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Sports Medicine of the Rockies Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Keith Fujisaki, M.D.

  • Orthopaedic Surgery Physician
  • Burien, WA
  • NPI 1043285893
  NPD (past) Authorized official

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1093780918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 LUTHERAN PKWY",
            "address_2": "SUITE 210",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336017",
            "telephone_number": "303-403-7340",
            "fax_number": "303-403-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LUTHERAN PKWY",
            "address_2": "SUITE 210",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336017",
            "telephone_number": "303-403-7340",
            "fax_number": "303-403-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. KEITH FUJISAKI MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "FUJISAKI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-403-7340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "29370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4213838",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00049979",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKMAN'T COMP",
            "identifier": "104267500",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20872771",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "FUA29319",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Medicine of the Rockies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Peter Burzynski, MD
• Emily R Buster, DPT, PT
• Laura Butler, MFTC
• Theodore Romeyn Buttrick III, MD
• By Your Side Home Care LLC
• Juan Cabazos
• Larry Richard Cadman Jr., D.O.
• Lindsey Calder, MSW
• Caldwell Chiropractic Center, PC
• Jenna Bernice Caldwell, LMFT

• Specialist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.