Organization Active NPI

Leder Internal Medicine Associates PC

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1124060637
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LEDER INTERNAL MEDICINE ASSOCIATES PC
Practice address
1325 S Colorado Blvd
Suite B306
Denver, CO 80222-3303
Phone
(303) 759-2985
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Eric H Leder, MD
Title
President
Phone
(303) 759-2985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1325 S Colorado Blvd
Suite B306
Denver, CO 80222-3303

Mailing address

3464 S Willow St
Suite 166
Denver, CO 80231-4531
Phone (303) 755-2900

Other identifiers 3

IdentifierTypeStateIssuer
04112041MedicaidCO
LE11204OtherCOBLUE SHIELD
CS2534OtherCORAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1325 S Colorado Blvd
Ste B306
Denver, CO 80222
Phone (303) 759-2985

3464 S Willow St
#166
Denver, CO 80231

3464 S Willow St
Ste 166
Denver, CO 80231

1400 E Hampden Ave
Ste 166
Englewood, CO 80113

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1124060637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 S WILLOW ST",
            "address_2": "SUITE 166",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314531",
            "telephone_number": "303-755-2900",
            "fax_number": "303-755-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S COLORADO BLVD",
            "address_2": "SUITE B306",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223303",
            "telephone_number": "303-759-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDER INTERNAL MEDICINE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "LEDER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-759-2985",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04112041",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "LE11204",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS2534",
            "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 Oct 31, 2007; 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.