Organization Active NPI

Thomas K. Mayeda, M.D., PC

  • Internal Medicine Physician
  • Lakewood, CO
National Provider Identifier
1336146026
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21404 Issued in CO
Legal business name
THOMAS K. MAYEDA, M.D., PC
Practice address
7373 W Jefferson Ave
Ste 103
Lakewood, CO 80235-2038
Phone
(303) 989-1284
Fax
(303) 988-6229
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Thomas K. Mayeda, M.D.
Title
M.D.
Phone
(303) 989-1284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 21404 CO Primary

Addresses

Primary practice location

7373 W Jefferson Ave
Ste 103
Lakewood, CO 80235-2038

Mailing address

7373 W Jefferson Ave
Ste 103
Lakewood, CO 80235-2038
Phone (303) 989-1284

Other identifiers 1

IdentifierTypeStateIssuer
25108221MedicaidCO

National Provider Directory

National Provider Directory

Locations

7373 W Jefferson Ave
Ste 103
Lakewood, CO 80235
Phone (303) 989-1284

Practitioners & affiliated clinicians

Practitioners 2

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1336146026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 W JEFFERSON AVE",
            "address_2": "STE 103",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352038",
            "telephone_number": "303-989-1284",
            "fax_number": "303-988-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 W JEFFERSON AVE",
            "address_2": "STE 103",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352038",
            "telephone_number": "303-989-1284",
            "fax_number": "303-988-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS K. MAYEDA, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "MAYEDA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "303-989-1284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "21404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25108221",
            "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 Mar 28, 2008; 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.