Organization Active NPI

Creekside Endocrine Associates, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Denver, CO
National Provider Identifier
1124024799
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
27647 Issued in CO
Legal business name
CREEKSIDE ENDOCRINE ASSOCIATES, PC
Practice address
4101 E. Louisiana Ave
Ste 200
Denver, CO 80246-3431
Phone
(303) 388-6410
Fax
(303) 388-1069
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Leonard R. Zemel, M.D.
Title
Owner - Physician
Phone
(303) 388-6410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 27647 CO Primary

Addresses

Primary practice location

4101 E. Louisiana Ave
Ste 200
Denver, CO 80246-3431

Mailing address

4101 E. Louisiana Ave
Ste 200
Denver, CO 80246-3431
Phone (303) 388-6410

Other identifiers 2

IdentifierTypeStateIssuer
60089024MedicaidCO
DD3981OtherCORR MEDICARE

National Provider Directory

National Provider Directory

Locations

3865 Chry Creek N Dr
#322
Denver, CO 80209
Phone (303) 388-6410

3464 S Willow St
Ste 334
Denver, CO 80231

3865 Chry Creek N Dr
Ste 322
Denver, CO 80209
Phone (303) 388-6410

3865 Chry Creek N Dr
#334
Denver, CO 80209
Phone (303) 388-6410

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1124024799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 E. LOUISIANA AVE",
            "address_2": "STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463431",
            "telephone_number": "303-388-6410",
            "fax_number": "303-388-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 E. LOUISIANA AVE",
            "address_2": "STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463431",
            "telephone_number": "303-388-6410",
            "fax_number": "303-388-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE ENDOCRINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "ZEMEL",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER - PHYSICIAN",
        "authorized_official_telephone_number": "303-388-6410",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CO",
            "license": "27647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60089024",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD3981",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 18, 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.