Organization Active NPI

Lakewood Medical Center

  • Internal Medicine Physician
  • Lakewood, CO
National Provider Identifier
1295864833
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33410 Issued in CO
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

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
Dr. Hai Phong Bui, MDNPI 1316965536
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
33410OtherCOSTATE LISCENSE
01334101MedicaidCO

National Provider Directory

National Provider Directory

Locations

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

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.