East West Family Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35559 Issued in CO

Legal business name

EAST WEST FAMILY HEALTH LLC

Practice address

8200 E. Belleview Avenue
Suite 203-C
Greenwood Village, CO 80111-2835

Phone

(303) 221-6797

Fax

(303) 221-4563

NPI assigned

Aug 25, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Floyd B Russak, M.D.NPI 1902898984

Title

Owner/Physician

Phone

(303) 591-8161

Specialties & licenses 2

Addresses

Other names 1

• East-West Health Centers Former legal business name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Floyd Brian Russak, M.D.

  • Internal Medicine Physician
  • Greenwood Village, CO
  • NPI 1902898984
  Medicare reassignment Care Compare group NPD Authorized official
• Beatriz Pelaez Linn, M.D.

  • Internal Medicine Physician
  • Parker, CO
  • NPI 1366433096
  Medicare reassignment Care Compare group NPD
• Jordan Charles Walker, DO

  • Internal Medicine Physician
  • Greenwood Village, CO
  • NPI 1770119729
  Medicare reassignment Care Compare group NPD
• Heather Dawn Whiting, P.A.C

  • Family Medicine Physician
  • Greenwood Village, CO
  • NPI 1104007202
  Medicare reassignment Care Compare group
• Gilberto Miranda, DO

  • Psychiatry Physician
  • Lone Tree, CO
  • NPI 1528598059
  Medicare reassignment NPD

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1417402918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E. BELLEVIEW AVENUE",
            "address_2": "SUITE 203-C",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112835",
            "telephone_number": "303-221-6797",
            "fax_number": "303-221-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 E. BELLEVIEW AVENUE",
            "address_2": "SUITE 203-C",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112835",
            "telephone_number": "303-221-6797",
            "fax_number": "303-221-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WEST FAMILY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "RUSSAK",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "303-591-8161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "35559",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East-West Health Centers",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "East-West Health Centers",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Steven Dykstra, IOMT
• Allison Dysart
• Lauren Rebecca Malabed Eagelston, MD
• Kaitlan Eakin
• Erica Michelle Earhart, APN
• Jesure Eaton, MFTC
• Jillian Eaton, FNP-C
• Andrew T Ecker, BA
• Edelen Enterprises, Inc. D/B/a Recovery 360 (Edelen Enterprises, Inc. d/b/a Blue Pine Recovery)
• Eden Wellness LLC

• Family Medicine Physician in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.