Organization Active NPI

Healthfit Medical Professionals, LLC

  • Family Medicine Physician
  • Castle Rock, CO
National Provider Identifier
1184005308
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTHFIT MEDICAL PROFESSIONALS, LLC
Practice address
2356 Meadows Blvd
Suite 140B
Castle Rock, CO 80109-8405
Phone
(303) 218-7774
Fax
(303) 660-5065
NPI assigned
Jun 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Marlow Perez, MD
Title
Owner
Phone
(303) 886-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2356 Meadows Blvd
Suite 140B
Castle Rock, CO 80109-8405

Mailing address

2356 Meadows Blvd
Suite 140B
Castle Rock, CO 80109-8405
Phone (303) 218-7774

Other identifiers 2

IdentifierTypeStateIssuer
DW0266OtherCOMEDICARE RR
76609774MedicaidCO

Other names 1

  • HealthFit Family Medicine Other name

National Provider Directory

National Provider Directory

Locations

2356 Meadows Blvd
Castle Rock, CO 80109
Phone (303) 649-3380

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1184005308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 MEADOWS BLVD",
            "address_2": "SUITE 140B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098405",
            "telephone_number": "303-218-7774",
            "fax_number": "303-660-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 MEADOWS BLVD",
            "address_2": "SUITE 140B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098405",
            "telephone_number": "303-218-7774",
            "fax_number": "303-660-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHFIT MEDICAL PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARLOW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-886-4440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DW0266",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76609774",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthFit Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.