Evergreen Meadows Family Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EVERGREEN MEADOWS FAMILY MEDICAL CENTER

Practice address

28000 Meadow Drive
Suite 206
Evergreen, CO 80439

Phone

(303) 674-3117

Fax

(303) 674-5776

NPI assigned

Dec 7, 2006

Organization subpart

No

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

Authorized official

Name

Tam Mason

Title

Office Manager

Phone

(303) 674-3117

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lora Elane Shirar, MD

  • Family Medicine Physician
  • Golden, CO
  • NPI 1528013000
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447319314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28000 MEADOW DRIVE",
            "address_2": "SUITE 206",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "80439",
            "telephone_number": "303-674-3117",
            "fax_number": "303-674-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28000 MEADOW DRIVE",
            "address_2": "SUITE 206",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "80439",
            "telephone_number": "303-674-3117",
            "fax_number": "303-674-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN MEADOWS FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "TAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-674-3117"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Dental Group
• Evergreen Dental Partners LLP (Comfort Dental Evergreen)
• Evergreen Family Dentistry PC
• Evergreen Fire Protection District
• Evergreen Fire Protection District
• Evergreen Medical Acupuncture LLC
• Evergreen Operations, LLC (Life Care Center of Evergreen)
• Evergreen Oral and Maxillofacial Surgery
• Evergreen Pathways Counseling, LLC
• Evergreen Pediatrics, LLC (Evergreen Conifer Pediatrics)

• Family Medicine Physician in Evergreen, CO
• Providers in Evergreen, 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 Aug 22, 2020; 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.