Colorado Internal Medicine Center, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COLORADO INTERNAL MEDICINE CENTER, P.C.

Practice address

4545 E 9TH Ave
#670
Denver, CO 80220-3901

Phone

(303) 320-7744

Fax

(303) 388-2003

NPI assigned

Jun 9, 2006

Last updated

Nov 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheryl Lynn Graham

Title

Office Manager

Phone

(303) 320-7744

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1285675363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E 9 AVE",
            "address_2": "#670",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80220",
            "telephone_number": "303-320-7744",
            "fax_number": "303-388-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE",
            "address_2": "#670",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203901",
            "telephone_number": "303-320-7744",
            "fax_number": "303-388-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO INTERNAL MEDICINE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-320-7744"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74474073",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI9125",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colorado Infrared Imaging Center
• Colorado Injury Treatment Center
• Colorado Innovative Services LLC (Mindhues)
• Colorado Institute for Contemporary Psychotherapy PLLC
• Colorado Integrated Services LLC
• Colorado Interventional Medical Group PC
• Colorado Kidney Associates, PC
• Colorado Kids Pediatrics
• Colorado Kids Pediatrics
• Colorado Kids Speech Therapy LLC

• Internal Medicine Physician in Denver, CO
• Providers in Denver, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.