NPIMap

Organization Active NPI

Healthone Clinic Services, LLC

Doing business as HealthONE LODO Internal Medicine

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1215918586
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HEALTHONE CLINIC SERVICES, LLC
Doing business as
HealthONE LODO Internal Medicine
Practice address
1515 Wazee St
Suite D
Denver, CO 80202-1478
Phone
(303) 534-9550
Fax
(303) 932-7805
NPI assigned
Nov 14, 2005
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Patrick Birmingham
Title
Director
Phone
(615) 373-7625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1515 Wazee St
Suite D
Denver, CO 80202-1478

Mailing address

1515 Wazee St
Suite D
Denver, CO 80202-1478
Phone (303) 534-9550

Other identifiers 1

IdentifierTypeStateIssuer
GR69051526MedicaidCO

Other names 1

  • HealthONE LODO Internal Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healthone Sky Ridge Medical Center45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215918586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 WAZEE ST",
            "address_2": "SUITE D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021478",
            "telephone_number": "303-534-9550",
            "fax_number": "303-932-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 WAZEE ST",
            "address_2": "SUITE D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021478",
            "telephone_number": "303-534-9550",
            "fax_number": "303-932-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHONE CLINIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRMINGHAM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-373-7625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR69051526",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthONE LODO 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.