Scott M Green MD P C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29123 Issued in CO

Legal business name

SCOTT M GREEN MD P C

Doing business as

Academy Park Family Practice, PC

Practice address

7373 W Jefferson Ave
Suite 201
Lakewood, CO 80235-2038

Phone

(303) 979-1559

Fax

(303) 986-6895

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott M Green, MDNPI 1801877519

Title

Owner

Phone

(303) 979-1559

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Academy Park Family Practice, PC Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

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

• Scott M. Green, MD

  • Family Medicine Physician
  • Lakewood, CO
  • NPI 1801877519
  Medicare reassignment NPD Authorized official
• Lawrence Joseph Frerker, MD

  • Family Medicine Physician
  • Englewood, CO
  • NPI 1326029992
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144377300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 W JEFFERSON AVE",
            "address_2": "SUITE 201",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352038",
            "telephone_number": "303-979-1559",
            "fax_number": "303-986-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 W JEFFERSON AVE",
            "address_2": "SUITE 201",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352038",
            "telephone_number": "303-979-1559",
            "fax_number": "303-986-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M GREEN MD P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-07-21",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-979-1559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "29123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801877519",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Academy Park Family Practice, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SCL Physicians - RMPC LLC
• Scltdi JV, LLC
• Sco Care of Co II, LLC
• Sco Care of Co, LLC
• Scott Greenhalgh DDS PC
• Dawn Scott, RN
• Emily Scott
• Jeffrey R Scott, MD
• Jennifer Scott
• Jessica Rose Scott

• Family Medicine Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.