Individual provider Active NPI

Paul Fawson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Castle Pines, CO
National Provider Identifier
1467715557
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD.0000762 Issued in CO
Practice address
7505 Village Square Dr
Suite 101
Castle Pines, CO 80108-3692
Phone
(303) 805-5156
Fax
(303) 805-5157
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD.0000762 CO Primary

Addresses

Primary practice location

7505 Village Square Dr
Suite 101
Castle Pines, CO 80108-3692

Mailing address

3435 Riding Hood CT
Castle Rock, CO 80109-3690
Phone (801) 368-3859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180620001965 NV Practitioner - Podiatry 4880901503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2034NVMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sun City Foot Care Foot & Ankle Surgery CurrentSince Jul 15, 2018 Accepting new patients
Podiatry LV LLC Current Accepting new patients

Locations

3320 N Buffalo Dr
Ste 107
Las Vegas, NV 89129
Phone (702) 256-8454

Interoperability endpoints

  • Direct secure messaging: paul.fawson@757.chartlogic.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1467715557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 RIDING HOOD CT",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093690",
            "telephone_number": "801-368-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 VILLAGE SQUARE DR",
            "address_2": "SUITE 101",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801083692",
            "telephone_number": "303-805-5156",
            "fax_number": "303-805-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWSON",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Pines, CO

Sources for this page

Verify at the official NPI Registry.