Organization Active NPI

Front Range Internal Medicine PC

  • Internal Medicine Physician
  • Englewood, CO
National Provider Identifier
1528240827
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26561 Issued in CO
Legal business name
FRONT RANGE INTERNAL MEDICINE PC
Practice address
499 E Hampden Ave
Suite 400
Englewood, CO 80113-2780
Phone
(303) 788-1620
Fax
(303) 788-4097
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Ms. Erika Ann Knutson
Title
Business Manager
Phone
(303) 788-1620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 26561 CO Primary

Addresses

Primary practice location

499 E Hampden Ave
Suite 400
Englewood, CO 80113-2780

Mailing address

499 E Hampden Ave
Suite 400
Englewood, CO 80113-2780
Phone (303) 788-1620

Other identifiers 3

IdentifierTypeStateIssuer
CS6748OtherCORAILROAD MEDICARE
04008470MedicaidCO
FR96708OtherCOBLUE CROSS AND BLUE SHIEL

National Provider Directory

National Provider Directory

Locations

499 E Hampden Ave
Ste 400
Englewood, CO 80113
Phone (303) 788-1620

701 E Hampden Ave
Ste 350
Englewood, CO 80113
Phone (303) 788-6490

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1528240827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE",
            "address_2": "SUITE 400",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132780",
            "telephone_number": "303-788-1620",
            "fax_number": "303-788-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE",
            "address_2": "SUITE 400",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132780",
            "telephone_number": "303-788-1620",
            "fax_number": "303-788-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "303-788-1620",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "26561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS6748",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04008470",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "FR96708",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.