Active NPI
Michael Peter Fallon, MD
- Emergency Medicine Physician
- Lakewood, CO
National Provider Identifier
1306854112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 31188
- Practice address
- 605 Parfet St
Lakewood, CO 80215-5576 - Phone
- (303) 462-2273
- Fax
- (303) 462-2274
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 31188 | CO | Primary |
Addresses
Primary practice location
605 Parfet St
Lakewood, CO 80215-5576
Mailing address
3464 S Willow St # 162
Denver, CO 80231-4531
Phone (303) 755-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01311885 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yampa Valley Medical Center | Past | Accepting new patients | |
| Highlands Ranch Healthcare LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba MedExpress Urgent Care - Longmont, S Main St
- Urgent Care Clinic/Center
- Longmont, CO
- NPI 1720500879
Emergency Medicine
-
dba UCHealth Yampa Valley Medical Center
- Multi-Specialty Clinic/Center
- Steamboat Springs, CO
- NPI 1295177426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243987200000",
"number": "1306854112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3464 S WILLOW ST # 162",
"city": "DENVER",
"state": "CO",
"postal_code": "802314531",
"telephone_number": "303-755-2900",
"fax_number": "303-745-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 PARFET ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802155576",
"telephone_number": "303-462-2273",
"fax_number": "303-462-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALLON",
"first_name": "MICHAEL",
"middle_name": "PETER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2009-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "31188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01311885",
"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 Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.