Lakewood Internal Medicine Professional LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LAKEWOOD INTERNAL MEDICINE PROFESSIONAL LLC

Practice address

1805 Kipling St
Lakewood, CO 80215-2873

Phone

(303) 231-9700

NPI assigned

Sep 26, 2007

Organization subpart

No

Name

Dr. David Marc Leon, MDNPI 1174605737

Title

Owner

Phone

(303) 231-9700

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

• David Marc Leon, M.D.

  • Internal Medicine Physician
  • Lakewood, CO
  • NPI 1174605737

  CO

  Medicare reassignment NPD Authorized official
• Molly Colleen McCabe, PA-C

  • Medical Physician Assistant
  • Lakewood, CO
  • NPI 1316299092

  CO

  Medicare reassignment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2019.

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1457548265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802152873",
            "telephone_number": "303-231-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802152873",
            "telephone_number": "303-231-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD INTERNAL MEDICINE PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-231-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lakewood, CO
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.