Active NPI
Frederick Mark Paz, MD
- Internal Medicine Physician
- Golden, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29958
- Practice address
- 400 Indiana St Ste 280
Golden, CO 80401-5069 - Phone
- (303) 985-1811
- Fax
- (303) 985-3917
- NPI assigned
- Sep 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 29958 | CO | |
| Internal Medicine Physician | 207R00000X | 29958 | CO | Primary |
Addresses
Primary practice location
400 Indiana St Ste 280
Golden, CO 80401-5069
Mailing address
400 Indiana St Ste 280
Golden, CO 80401-5069
Phone (303) 985-1811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040414001977 | CO | Practitioner - Internal Medicine | 6406841055 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29958 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore Osteo of Colorado LLC | Multi-Specialty | Current | Accepting new patients |
| Restore Osteo of Colorado LLC | Multi-Specialty | Current | Accepting new patients |
| Restore Osteo of Colorado LLC | Multi-Specialty | Current | Accepting new patients |
| RFH Colorado, LLC | Past | Accepting new patients |
Locations
1421 S Potomac St
Ste 330
Aurora, CO 80012
Phone (303) 696-2131
400 Indiana St
Ste 280
Lakewood, CO 80401
Phone (303) 216-2661
9195 Grant St
Ste 305
Thornton, CO 80229
Phone (303) 216-2661
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Spruce Health Group
- Internal Medicine Physician
- Greeley, CO
- NPI 1417670142
Multi-Specialty
-
dba Spruce Health Group
- Internal Medicine Physician
- Golden, CO
- NPI 1619581246
Multi-Specialty
-
dba Restore Medical Group
- Internal Medicine Physician
- Thornton, CO
- NPI 1922695410
Multi-Specialty
-
- Rheumatology Physician
- Thornton, CO
- NPI 1447081229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1396931465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 INDIANA ST STE 280",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804015069",
"telephone_number": "303-985-1811",
"fax_number": "303-985-3917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 INDIANA ST STE 280",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804015069",
"telephone_number": "303-985-1811",
"fax_number": "303-985-3917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAZ",
"first_name": "FREDERICK",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-21",
"last_updated": "2022-11-25",
"certification_date": "2022-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CO",
"license": "29958",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "29958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.