Organization Active NPI

Greenwood Village Family Medicine PC

  • Family Medicine Physician
  • Greenwood Village, CO
National Provider Identifier
1457534232
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36427 Issued in CO
Legal business name
GREENWOOD VILLAGE FAMILY MEDICINE PC
Practice address
8200 E Belleview Ave Ste 204C
Greenwood Village, CO 80111-2805
Phone
(303) 221-5700
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Terese E Donch, D.O.NPI 1124102330
Title
Owner
Phone
(303) 221-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 36427 CO Primary

Addresses

Primary practice location

8200 E Belleview Ave Ste 204C
Greenwood Village, CO 80111-2805

Mailing address

8200 E Belleview Ave
Ste 204C
Greenwood Village, CO 80111-2888
Phone (303) 221-5700

Other identifiers 1

IdentifierTypeStateIssuer
C485808OtherCOPROVIDER/GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040120000274 CO Part B Supplier - Clinic/Group Practice 5597666727 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

4380 S Syracuse St
Ste 315
Denver, CO 80237
Phone (303) 221-5700

8200 E Belleview Ave
Ste 204C
Greenwood Village, CO 80111
Phone (303) 221-5700

8200 E Belleview Ave
Ste 330C
Greenwood Village, CO 80111
Phone (303) 221-5700

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1457534232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE",
            "address_2": "STE 204C",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112888",
            "telephone_number": "303-221-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE STE 204C",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112805",
            "telephone_number": "303-221-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD VILLAGE FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "DONCH",
        "authorized_official_first_name": "TERESE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-221-5700",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "36427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER/GROUP",
            "identifier": "C485808",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.