NPIMap

Organization Active NPI

Subspecialty Imaging Partners Prof, LLC

  • Diagnostic Radiology Physician
  • Englewood, CO
National Provider Identifier
1386683340
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SUBSPECIALTY IMAGING PARTNERS PROF, LLC
Practice address
10700 E Geddes Ave
#200
Englewood, CO 80112-3800
Phone
(303) 761-9190
Fax
(303) 761-6322
NPI assigned
Jun 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Marnie Berrian
Title
Cfo
Phone
(303) 761-9190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

10700 E Geddes Ave
#200
Englewood, CO 80112-3800

Mailing address

PO Box 3079
Greenwood Village, CO 80155-3079
Phone (303) 761-9190

Other identifiers 1

IdentifierTypeStateIssuer
66638739MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1386683340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3079",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801553079",
            "telephone_number": "303-761-9190",
            "fax_number": "303-761-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 E GEDDES AVE",
            "address_2": "#200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123800",
            "telephone_number": "303-761-9190",
            "fax_number": "303-761-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBSPECIALTY IMAGING PARTNERS PROF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "BERRIAN",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-761-9190"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66638739",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.