Active NPI
Lakewood Medical Center
- Internal Medicine Physician
- Lakewood, CO
National Provider Identifier
1295864833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 33410
- Legal business name
- LAKEWOOD MEDICAL CENTER
- Practice address
- 2020 Wadsworth Blvd
#17
Lakewood, CO 80214-5728 - Phone
- (303) 238-1488
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hai Phong Bui, MD
- Title
- Ceo
- Phone
- (303) 238-1488
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 33410 | CO | Primary |
Addresses
Primary practice location
2020 Wadsworth Blvd
#17
Lakewood, CO 80214-5728
Mailing address
2020 Wadsworth Blvd
#17
Lakewood, CO 80214-5728
Phone (303) 238-1488
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33410 | Other | CO | STATE LISCENSE |
| 01334101 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
2020 Wadsworth Blvd
#17
Lakewood, CO 80214
Phone (303) 238-1488
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295864833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 WADSWORTH BLVD",
"address_2": "#17",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802145728",
"telephone_number": "303-238-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 WADSWORTH BLVD",
"address_2": "#17",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802145728",
"telephone_number": "303-238-1488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEWOOD MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BUI",
"authorized_official_first_name": "HAI",
"authorized_official_middle_name": "PHONG",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "303-238-1488",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CO",
"license": "33410",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISCENSE",
"identifier": "33410",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01334101",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
- Lakewood Grin Ortho, PLLC
- Lakewood Healthcare LLC
- Lakewood Homestead LTD
- Lakewood Injury Treatment Center Inc
- Lakewood Internal Medicine Professional LLC
- Lakewood Medical Center Corporation
- Lakewood Meridian LP
- Lakewood Modern Dentistry, LLP
- Lakewood Modern Dentistry, LLP
- Lakewood Nursing and Rehab Center LLC
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.