Active NPI
Thomas K. Mayeda, M.D., PC
- Internal Medicine Physician
- Lakewood, CO
National Provider Identifier
1336146026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21404
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25108221 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nephrology Physician
- Englewood, CO
- NPI 1730265133
-
- Geriatric Medicine (Internal Medicine) Physician
- Littleton, CO
- NPI 1275596652
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.