Ky Sawada MD Professional LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

KY SAWADA MD PROFESSIONAL LLC

Practice address

400 Indiana St
Suite 390
Golden, CO 80401-5027

Phone

(303) 463-9600

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Kathleen Y Sawada, MD

Title

President

Phone

(303) 463-9600

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1316968209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 S WILLOW ST",
            "address_2": "SUITE 657",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314531",
            "telephone_number": "303-755-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST",
            "address_2": "SUITE 390",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015027",
            "telephone_number": "303-463-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KY SAWADA MD PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "SAWADA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-463-9600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "SW28118",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA4475",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly S Kuehner, PHD
• Jenna Dalton Kuhl, AGNP-C
• Lesley Kuhl
• Faith Virginia Rose Kuipers, PT, DPT
• Lia Kathryn Kurtin, MS CCC SLP
• Jennifer M Labine, MS CCC-SLP
• Laboratory Corporation of America
• Laboratory Corporation of America
• Laboratory Corporation of America
• Laboratory Corporation of America

• Dermatology Physician in Golden, CO
• Providers in Golden, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.