NPIMap

Organization Active NPI

Wheat Ridge Family Physicians LLC

Doing business as Highlands Family Medicine

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1164574562
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHEAT RIDGE FAMILY PHYSICIANS LLC
Doing business as
Highlands Family Medicine
Practice address
4500 W 38TH Ave
Suite 220
Denver, CO 80212
Phone
(303) 420-1297
Fax
(303) 420-2953
NPI assigned
Jan 17, 2007
Last updated
Sep 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Authorized official

Name
Wendy Garduno
Title
Office Manager
Phone
(303) 420-1297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4500 W 38TH Ave
Suite 220
Denver, CO 80212

Mailing address

4500 W 38TH Ave
Suite 220
Denver, CO 80212
Phone (303) 420-1297

Other names 1

  • Highlands Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040914001379 CO Part B Supplier - Clinic/Group Practice 0547237919 Receives reassigned benefits from 9 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1164574562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 W 38TH AVE",
            "address_2": "SUITE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80212",
            "telephone_number": "303-420-1297",
            "fax_number": "303-420-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W 38TH AVE",
            "address_2": "SUITE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80212",
            "telephone_number": "303-420-1297",
            "fax_number": "303-420-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEAT RIDGE FAMILY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "GARDUNO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-420-1297"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands Family 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 Sep 20, 2013; 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.