Organization Active NPI

Norwood Family Medicine PC

  • Family Medicine Physician
  • Norwood, CO
National Provider Identifier
1124049796
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORWOOD FAMILY MEDICINE PC
Practice address
1175 Grand Ave.
Norwood, CO 81423
Phone
(970) 327-4470
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Julie A McCallen, MDNPI 1588619092
Title
Sole Proprietor
Phone
(970) 327-4470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1175 Grand Ave.
Norwood, CO 81423

Mailing address

3464 S Willow St
Suite 545
Denver, CO 80231-4531
Phone (800) 929-5395

Other identifiers 2

IdentifierTypeStateIssuer
NO668572OtherCOBLUE SHIELD
07328711MedicaidCO

National Provider Directory

National Provider Directory

Locations

3464 S Willow St
#545
Denver, CO 80231

3464 S Willow St
Ste 545
Denver, CO 80231

Practitioners & affiliated clinicians

Practitioners 1

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1124049796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 S WILLOW ST",
            "address_2": "SUITE 545",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314531",
            "telephone_number": "800-929-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 GRAND AVE.",
            "city": "NORWOOD",
            "state": "CO",
            "postal_code": "81423",
            "telephone_number": "970-327-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWOOD FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "MCCALLEN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "970-327-4470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "NO668572",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07328711",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.