Active NPI
Mayfair Internal Medicine, P.C.
- Internal Medicine Physician
- Denver, CO
National Provider Identifier
1447466073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Edith Sarah Lovegren, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04016044 | Medicaid | CO | |
| MAC | Other | CO | GROUP BLUE CROSS BLUE SHI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Denver, CO
- NPI 1871688838
-
- Audiologist
- Lone Tree, CO
- NPI 1427905363
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.