NPIMap

Organization Active NPI

Mile High Gastroenterology,P.C.

  • Gastroenterology Physician
  • Denver, CO
National Provider Identifier
1144407164
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
21059 Issued in CO
Legal business name
MILE HIGH GASTROENTEROLOGY,P.C.
Practice address
2005 Franklin St Ste 210
Denver, CO 80205-5403
Phone
(303) 861-4500
Fax
(303) 863-1320
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. Thomas A. Reed, M.D.NPI 1548230659
Title
President
Phone
(303) 861-4500

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 21059 CO Primary

Addresses

Primary practice location

2005 Franklin St Ste 210
Denver, CO 80205-5403

Mailing address

2005 Franklin St Ste 210
Denver, CO 80205-5403
Phone (303) 861-4500

Other identifiers 2

IdentifierTypeStateIssuer
01210590MedicaidCO
04007076MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1144407164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 FRANKLIN ST STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055403",
            "telephone_number": "303-861-4500",
            "fax_number": "303-863-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 FRANKLIN ST STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055403",
            "telephone_number": "303-861-4500",
            "fax_number": "303-863-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH GASTROENTEROLOGY,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-861-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "21059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01210590",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04007076",
            "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 Jan 22, 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.