NPIMap

Organization Active NPI

5TH Ave Family Practice & Cosmetics PLLC

  • Family Medicine Physician
  • Aurora, CO
National Provider Identifier
1346775343
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0057175 Issued in CO
Legal business name
5TH AVE FAMILY PRACTICE & COSMETICS PLLC
Practice address
2044 Clinton St
Unit B
Aurora, CO 80010-1003
Phone
(303) 360-7472
NPI assigned
Apr 27, 2017
Last updated
Oct 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Authorized official

Name
Priscilla Owusu-Frimpong
Title
Owner
Phone
(303) 360-7472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0057175 CO Primary

Addresses

Primary practice location

2044 Clinton St
Unit B
Aurora, CO 80010-1003

Mailing address

2044 Clinton St
Unit B
Aurora, CO 80010-1003
Phone (303) 360-7472

National Provider Directory

National Provider Directory

Locations

2044 Clinton St
Unit B
Aurora, CO 80010
Phone (303) 360-7472

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1346775343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 CLINTON ST",
            "address_2": "UNIT B",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101003",
            "telephone_number": "303-360-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 CLINTON ST",
            "address_2": "UNIT B",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101003",
            "telephone_number": "303-360-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5TH AVE FAMILY PRACTICE & COSMETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "OWUSU-FRIMPONG",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-360-7472"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0057175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.