Organization Active NPI

Lakewood Medical Center Corporation

  • Health Maintenance Organization
  • Lakewood, CO
National Provider Identifier
1124450366
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
LAKEWOOD MEDICAL CENTER CORPORATION
Practice address
1700 Wadsworth Blvd
Lakewood, CO 80214-5256
Phone
(303) 238-1488
Fax
(303) 238-1459
NPI assigned
Jul 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Hai Phong Bui, M.D.NPI 1316965536
Title
President
Phone
(303) 238-1488

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
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1700 Wadsworth Blvd
Lakewood, CO 80214-5256

Mailing address

1700 Wadsworth Blvd
Lakewood, CO 80214-5256
Phone (303) 238-1488

Other practice location 1

1800 N Emerson St Ste 240
Denver, CO 80218-1067
Phone (303) 238-1488

Other names 1

  • Lakewood Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CORHIO Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1700 Wadsworth Blvd
Lakewood, CO 80214
Phone (303) 238-1488

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": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1124450366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145256",
            "telephone_number": "303-238-1488",
            "fax_number": "303-238-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145256",
            "telephone_number": "303-238-1488",
            "fax_number": "303-238-1459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 N Emerson St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181067",
            "country_code": "US",
            "telephone_number": "303-238-1488",
            "fax_number": "303-238-1459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKEWOOD MEDICAL CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "HAI",
        "authorized_official_middle_name": "PHONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-238-1488",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CORHIO",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1700 Wadsworth Blvd",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802145256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lakewood Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakewood Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.