Organization Active NPI

Charles E. Frankum, Jr, MD, Professional LLC

  • Colon & Rectal Surgery Physician
  • Denver, CO
National Provider Identifier
1124202536
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
39773 Issued in CO
Legal business name
CHARLES E. FRANKUM, JR, MD, PROFESSIONAL LLC
Practice address
1960 Ogden St
Suite 530
Denver, CO 80218-3666
Phone
(303) 830-2004
Fax
(303) 318-2604
NPI assigned
Dec 20, 2007
Last updated
Mar 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Julie A Wancik
Title
Office Manager
Phone
(303) 830-2004

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 39773 CO
Colon & Rectal Surgery Physician 208C00000X 39773 CO Primary

Addresses

Primary practice location

1960 Ogden St
Suite 530
Denver, CO 80218-3666

Mailing address

1960 Ogden St
Suite 530
Denver, CO 80218-3666
Phone (303) 830-2004

Other identifiers 1

IdentifierTypeStateIssuer
18838359MedicaidCO

National Provider Directory

National Provider Directory

Locations

1960 N Ogden St
Ste 530
Denver, CO 80218
Phone (303) 318-2600

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1124202536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 OGDEN ST",
            "address_2": "SUITE 530",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183666",
            "telephone_number": "303-830-2004",
            "fax_number": "303-318-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 OGDEN ST",
            "address_2": "SUITE 530",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183666",
            "telephone_number": "303-830-2004",
            "fax_number": "303-318-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E. FRANKUM, JR, MD, PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "WANCIK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-830-2004"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "39773",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CO",
            "license": "39773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18838359",
            "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 Mar 19, 2013; 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.