Organization Active NPI

Village Medical Center PC

  • Allergy & Immunology (Internal Medicine) Physician
  • Centennial, CO
National Provider Identifier
1477598829
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
Legal business name
VILLAGE MEDICAL CENTER PC
Practice address
5975 S Quebec St
Suite 150
Centennial, CO 80111-4564
Phone
(303) 221-0000
Fax
(303) 796-0304
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Morel Laronn, MD
Title
President
Phone
(303) 221-0000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X Primary

Addresses

Primary practice location

5975 S Quebec St
Suite 150
Centennial, CO 80111-4564

Mailing address

5975 S Quebec St
Suite 150
Centennial, CO 80111-4564
Phone (303) 221-0000

Other identifiers 2

IdentifierTypeStateIssuer
CE9649OtherCORAILROAD MEDICARE
VIU8608OtherCOBLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1610 E Girard Pl
#7
Englewood, CO 80113

5050 S Federal Blvd
Unit 38
Englewood, CO 80110
Phone (303) 879-8703

1610 E Girard Pl
Ste 7
Englewood, CO 80113
Phone (303) 794-6357

5370 Greenwood Plaza Blvd
Greenwood Village, CO 80111
Phone (303) 221-0000

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1477598829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 S QUEBEC ST",
            "address_2": "SUITE 150",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114564",
            "telephone_number": "303-221-0000",
            "fax_number": "303-796-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 S QUEBEC ST",
            "address_2": "SUITE 150",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114564",
            "telephone_number": "303-221-0000",
            "fax_number": "303-796-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "LARONN",
        "authorized_official_first_name": "MOREL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-221-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE9649",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "VIU8608",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.