John Hedberg, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

23617 Issued in CO

Practice address

165 S Union Blvd
Ste 800
Lakewood, CO 80228-2215

Phone

(303) 988-2680

Fax

(303) 986-8057

NPI assigned

Jun 30, 2005

Last updated

Oct 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• New West Physicians Inc

  • Internal Medicine Physician
  • Golden, CO
  • NPI 1427010859
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1578560942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 COLE BLVD",
            "address_2": "STE 100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013220",
            "telephone_number": "303-716-8013",
            "fax_number": "303-763-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 S UNION BLVD",
            "address_2": "STE 800",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282215",
            "telephone_number": "303-988-2680",
            "fax_number": "303-986-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDBERG",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "23617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01236173",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heartwood Therapy LLC
• Christine Wyatt Heath, OTR
• Maura Murphy Heavey, D.C.
• Michael Heckendorn, LPC, NCC
• Caleb J. Hedberg, D.O.
• James Stewart Heeter, LPC
• Rachael Heidt, PT, DPT
• Toby Heidt, LPC
• Teri L Heines, PSYD, LP
• Mark C Heins, CRNA

• 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 Oct 4, 2013; 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.