Organization Active NPI

Mayfair Internal Medicine, P.C.

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1447466073
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MAYFAIR INTERNAL MEDICINE, P.C.
Practice address
6311 E 14TH Ave
Denver, CO 80220-2821
Phone
(303) 333-6434
Fax
(303) 333-6505
NPI assigned
May 14, 2007
Last updated
Nov 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Ms. Edith Sarah Lovegren, MDNPI 1871688838
Title
Physician Partner
Phone
(303) 333-6434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6311 E 14TH Ave
Denver, CO 80220-2821

Mailing address

6311 E 14TH Ave
Denver, CO 80220-2821
Phone (303) 333-6434

Other identifiers 2

IdentifierTypeStateIssuer
04016044MedicaidCO
MACOtherCOGROUP BLUE CROSS BLUE SHI

National Provider Directory

National Provider Directory

Locations

6311 E 14th Ave
Denver, CO 80220
Phone (303) 333-6434

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1447466073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 E 14TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202821",
            "telephone_number": "303-333-6434",
            "fax_number": "303-333-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 E 14TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202821",
            "telephone_number": "303-333-6434",
            "fax_number": "303-333-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFAIR INTERNAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "LOVEGREN",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "SARAH",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "303-333-6434",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04016044",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BLUE CROSS BLUE SHI",
            "identifier": "MAC",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.