Markelles MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22074 Issued in CO

Legal business name

MARKELLES MD LLC

Practice address

1930 S Federal Blvd
Denver, CO 80219-5501

Phone

(303) 935-9142

Fax

(303) 934-7332

NPI assigned

Jun 11, 2015

Last updated

Sep 22, 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

Dyanne Fox

Title

Manager

Phone

(303) 935-9142

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1609257047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195501",
            "telephone_number": "303-935-9142",
            "fax_number": "303-934-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195501",
            "telephone_number": "303-935-9142",
            "fax_number": "303-934-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKELLES MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "DYANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-935-9142"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "22074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44235321",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Denver, CO
• Providers in Denver, 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 Sep 22, 2015; 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.