Potomac Square Family Medicine, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

POTOMAC SQUARE FAMILY MEDICINE, LLC

Practice address

2595 S Lewis Way Ste a
Lakewood, CO 80227-6555

Phone

(303) 986-9583

NPI assigned

Jul 28, 2020

Organization subpart

No

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

Authorized official

Name

Tresa Switzer

Title

Corporate Controller

Phone

(303) 341-4730

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1487263174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173848",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173848",
            "telephone_number": "303-945-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 S LEWIS WAY STE A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802276555",
            "telephone_number": "303-986-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC SQUARE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "SWITZER",
        "authorized_official_first_name": "TRESA",
        "authorized_official_title_or_position": "CORPORATE CONTROLLER",
        "authorized_official_telephone_number": "303-341-4730"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72602554",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dawn Portzline, PHARMD
• Gabrielle Ellen Posner
• Post Acute Specialists Colorado PC
• Alyssa Post, RN, BSN
• Whitney Anne Post, MA, MAC, LAC, ATP
• Thomas Harlan Pott, D.D.S.
• Amanda Joy Poulson, BCBA
• Alexa Powell
• David Powell, MD
• Kelsey Powell, NCC, LPC

• Primary Care Clinic/Center in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.