Organization Active NPI

HCA-Healthone, LLC

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1164532305
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40354 Issued in CO
Legal business name
HCA-HEALTHONE, LLC
Practice address
4500 E 9TH Ave
Suite 220
Denver, CO 80220-3900
Phone
(303) 399-0061
Fax
(303) 399-2198
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David A Gordon, M.D.
Title
M.D.
Phone
(303) 399-0061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 40354 CO Primary

Addresses

Primary practice location

4500 E 9TH Ave
Suite 220
Denver, CO 80220-3900

Mailing address

4500 E 9TH Ave
Suite 220
Denver, CO 80220-3900
Phone (303) 399-0061

Other names 1

  • Mountain View Internal Medicine Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1053739HCA Healthone Metropolitan OBGYN4500 E 9TH Avenue #250, Denver, CO 80220Provider-performed microscopyMay 1, 2027

National Provider Directory

National Provider Directory

Locations

Dept 1663
Denver, CO 80291

Practitioners & affiliated clinicians

Practitioners 5

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164532305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "address_2": "SUITE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203900",
            "telephone_number": "303-399-0061",
            "fax_number": "303-399-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "address_2": "SUITE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203900",
            "telephone_number": "303-399-0061",
            "fax_number": "303-399-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCA-HEALTHONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "303-399-0061",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "40354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.