Organization Active NPI

Mile High Primary Care PC

  • Family Medicine Physician
  • Aurora, CO
National Provider Identifier
1609842277
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MILE HIGH PRIMARY CARE PC
Practice address
2230 S Fraser St
Unit 1
Aurora, CO 80014-4535
Phone
(303) 341-4200
Fax
(303) 341-4480
NPI assigned
Feb 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Estella M Mares
Title
Office Manager
Phone
(303) 341-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2230 S Fraser St
Unit 1
Aurora, CO 80014-4535

Mailing address

2230 S Fraser St
Unit 1
Aurora, CO 80014-4535
Phone (303) 341-4200

Other identifiers 1

IdentifierTypeStateIssuer
04013231MedicaidCO

National Provider Directory

National Provider Directory

Locations

3464 S Willow St
Ste 330
Denver, CO 80231

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1609842277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 S FRASER ST",
            "address_2": "UNIT 1",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144535",
            "telephone_number": "303-341-4200",
            "fax_number": "303-341-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 S FRASER ST",
            "address_2": "UNIT 1",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144535",
            "telephone_number": "303-341-4200",
            "fax_number": "303-341-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "MARES",
        "authorized_official_first_name": "ESTELLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-341-4200"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04013231",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.