Indian Creek Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INDIAN CREEK MEDICAL GROUP INC

Doing business as

Indian Peaks Medical Group

Practice address

14062 Denver West Pkwy
BLDG 52, Ste 150
Lakewood, CO 80401-3187

Phone

(303) 893-8300

Fax

(303) 825-7927

NPI assigned

Nov 11, 2015

Last updated

Nov 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arwyn Bree Taffs

Title

Owner

Phone

(303) 893-8300

Specialties & licenses 1

Addresses

Other names 1

• Indian Peaks Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie Steadman, FNP-C

  • Family Nurse Practitioner
  • Lakewood, CO
  • NPI 1841973617
  Medicare reassignment NPD
• Charles E Goodell, M.D.

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1457301897
  Medicare reassignment
• Robert Covington Springs, M.D.

  • Family Medicine Physician
  • Denver, CO
  • NPI 1235246075
  Medicare reassignment
• Christine Evans

  • Family Nurse Practitioner
  • Coeur d'Alene, ID
  • NPI 1790367886

  CO

  Medicare reassignment
• Kenneth Hooper Weisiger, MD

  • Pulmonary Disease Physician
  • Lakewood, CO
  • NPI 1376504670

  Internal Medicine

  NPD
• Timothy Creany, M.D.

  • Internal Medicine Physician
  • Lakewood, CO
  • NPI 1679534788
  NPD (past)

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1548633670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14062 DENVER WEST PKWY",
            "address_2": "BLDG 52, STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013187",
            "telephone_number": "303-893-8300",
            "fax_number": "303-825-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14062 DENVER WEST PKWY",
            "address_2": "BLDG 52, STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013187",
            "telephone_number": "303-893-8300",
            "fax_number": "303-825-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN CREEK MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "TAFFS",
        "authorized_official_first_name": "ARWYN",
        "authorized_official_middle_name": "BREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-893-8300"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Peaks Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.