Wheat Ridge Internal Medicine PC
Organization Active NPI Internal Medicine Physician · Wheat Ridge, CO
NPI 1205913381 · NPPES record last updated Feb 18, 2019
Key facts
- NPI
- 1205913381
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- WHEAT RIDGE INTERNAL MEDICINE PC
- Practice address
- 7821 W 38TH Ave
Wheat Ridge, CO 80033-6109 - Phone
- (303) 422-2343
- Fax
- (303) 422-8291
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Julie Chappell
- Title
- Coo
- Phone
- (303) 709-6766
Practitioners 16
-
Sofi Mery Abraham, N.P.
-
Sara Ann Schmidt, N.P.
-
Jeremy D Graham, DO
-
Crystal M Culbert, PA C
-
Emily Lena Piala, PA
-
Megan Christine Weaver, PA-C
-
Lori Marie Kriegshauser, NP-C
-
Melissa Marie Fountain, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0899928 | Wheat Ridge Internal Medicine PC | Provider-performed microscopy | Apr 11, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040324001577 | CO | Part B Supplier - Clinic/Group Practice | 2961393145 |
Receives reassigned benefits from 16 practitioners Practice locations: Wheat Ridge, CO |
National Provider Directory
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/7154
- emilypiala@wheatridge.allscriptsdirect.net
- stantonelzi@wheatridge.allscriptsdirect.net
- laurawuchter@wheatridge.allscriptsdirect.net
- sofiabraham@wheatridge.allscriptsdirect.net
- lorikriegshauser@wheatridge.allscriptsdirect.net
- davidhager@wheatridge.allscriptsdirect.net
- saraschmidt@wheatridge.allscriptsdirect.net
- crystalculbert@wheatridge.allscriptsdirect.net
- wscottallan@wheatridge.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | CO | Yes |
Addresses
Primary practice location
7821 W 38TH Ave
Wheat Ridge, CO 80033-6109
Mailing address
7821 W 38TH Avenue
Wheat Ridge, CO 80033-6109
Phone (303) 422-2343
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04019709 | Medicaid | CO |
Other providers in Wheat Ridge, CO
- Wheat Ridge Family Dentistry
- Wheat Ridge Foot & Ankle Center, PC
- Wheat Ridge General and Vascular Surgical Associates PC
- Wheat Ridge Healthcare LLC
- Wheat Ridge Healthcare LLC
- Wheat Ridge Oral Surgery
- Wheat Ridge PDC PLLC
- Wheat Ridge Physical Medicine
- Wheat Ridge Regional Center
- Wheat Ridge Regional Center
All providers in Wheat Ridge, CO · Internal Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.