Organization Active NPI

Pinon Family Practice LLP

  • Family Medicine Physician
  • Littleton, CO
National Provider Identifier
1194942854
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PINON FAMILY PRACTICE LLP
Practice address
9895 W. Remington Place
Littleton, CO 80128-6734
Phone
(303) 948-2676
Fax
(303) 904-9151
NPI assigned
Apr 20, 2007
Last updated
Mar 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Dr. Tamara S. Wilson, MDNPI 1841325503
Title
MD
Phone
(303) 948-2676

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

9895 W. Remington Place
Littleton, CO 80128-6734

Mailing address

9895 W. Remington Place
Littleton, CO 80128-6734
Phone (303) 948-2676

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902001326 CO Part B Supplier - Clinic/Group Practice 9032185863 Receives reassigned benefits from 9 practitioners
Practice locations: Littleton, CO

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
06D1077396Pinon Family Practice9895 W Remington PL, Littleton, CO 80128Provider-performed microscopyDec 6, 2027

National Provider Directory

National Provider Directory

Locations

6179 S Balsam Way
Ste 215
Littleton, CO 80123
Phone (303) 948-2676

9895 W Remington Pl
Littleton, CO 80128
Phone (303) 948-2676

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1194942854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9895 W. REMINGTON PLACE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801286734",
            "telephone_number": "303-948-2676",
            "fax_number": "303-904-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9895 W. REMINGTON PLACE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801286734",
            "telephone_number": "303-948-2676",
            "fax_number": "303-904-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINON FAMILY PRACTICE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "303-948-2676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.