Active NPI
Paul T Raford, MD, MPH
- Family Medicine Physician
- Centennial, CO
National Provider Identifier
1578561874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34816
- Practice address
- 7030 S Yosemite St
Centennial, CO 80112-2016 - Phone
- (303) 721-9984
- Fax
- (303) 267-7304
- NPI assigned
- Jul 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 74479 | FL | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 34816 | CO | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 74479 | FL | |
| Family Medicine Physician | 207Q00000X | 34816 | CO | Primary |
Addresses
Primary practice location
7030 S Yosemite St
Centennial, CO 80112-2016
Mailing address
PO Box 1252
Conifer, CO 80433-1252
Phone (303) 250-0714
Other practice location 1
6895 E Hampden Ave
Denver, CO 80224-3047
Phone (303) 250-0714
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020147 | Other | CO | KAISER COMMERICAL NUMBER |
| 13379526 | Medicaid | CO | |
| 811064 | Other | CO | MEDICARE GROUP NUMBER |
| 348308 | Other | CO | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34816 | CO | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| 74479 | FL | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthone Clinic Services - Occupational Medicine LLC | Past | Accepting new patients | |
| Clinix Health Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Centennial, CO
- NPI 1154333821
-
- Clinic/Center
- Denver, CO
- NPI 1558547646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1578561874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1252",
"city": "CONIFER",
"state": "CO",
"postal_code": "804331252",
"telephone_number": "303-250-0714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7030 S YOSEMITE ST",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801122016",
"telephone_number": "303-721-9984",
"fax_number": "303-267-7304"
}
],
"practiceLocations": [
{
"address_1": "6895 E Hampden Ave",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802243047",
"country_code": "US",
"telephone_number": "303-250-0714",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAFORD",
"first_name": "PAUL",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "74479",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "CO",
"license": "34816",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "FL",
"license": "74479",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "34816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERICAL NUMBER",
"identifier": "020147",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13379526",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "811064",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "348308",
"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 Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.