NPIMap

Organization Active NPI

Our Lady of Hope Medical Clinic Inc.

  • Primary Care Clinic/Center
  • Centennial, CO
National Provider Identifier
1265890917
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
39788 Issued in CO
Legal business name
OUR LADY OF HOPE MEDICAL CLINIC INC.
Practice address
7920 S University Blvd Ste 100
Centennial, CO 80122-5103
Phone
(720) 344-2680
Fax
(720) 344-2681
NPI assigned
Feb 9, 2016
Last updated
Feb 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Dr. Edwin Theodore Anselmi, M.D.NPI 1790780989
Title
Physician
Phone
(720) 344-2680

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
Primary Care Clinic/Center 261QP2300X 39788 CO Primary

Addresses

Primary practice location

7920 S University Blvd Ste 100
Centennial, CO 80122-5103

Mailing address

7920 S University Blvd Ste 100
Centennial, CO 80122-5103
Phone (720) 344-2680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170509000422 CO Part B Supplier - Clinic/Group Practice 9537446109 Receives reassigned benefits from 5 practitioners
Practice locations: Centennial, CO

National Provider Directory

National Provider Directory

Locations

7920 S University Blvd
Ste 100
Centennial, CO 80122
Phone (720) 344-2680

Practitioners & affiliated clinicians

Practitioners 8

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": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1265890917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 S UNIVERSITY BLVD STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801225103",
            "telephone_number": "720-344-2680",
            "fax_number": "720-344-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 S UNIVERSITY BLVD STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801225103",
            "telephone_number": "720-344-2680",
            "fax_number": "720-344-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF HOPE MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "ANSELMI",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "720-344-2680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "39788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.