Active NPI
HCA-Healthone, LLC
- Internal Medicine Physician
- Denver, CO
National Provider Identifier
1609916741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HCA-HEALTHONE, LLC
- Practice address
- 4545 E 9TH Ave
Suite 630
Denver, CO 80220-3901 - Phone
- (303) 320-2929
- Fax
- (303) 320-2767
- NPI assigned
- Feb 7, 2007
- Organization subpart
- Yes
- Parent organization
- HCA-HEALTHONE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natalie Pack
- Title
- Cfo
- Phone
- (713) 527-5008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
4545 E 9TH Ave
Suite 630
Denver, CO 80220-3901
Mailing address
4545 E 9TH Ave
Suite 630
Denver, CO 80220-3901
Phone (303) 320-2929
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI1305 | Other | CO | RAILROAD MEDICARE |
| 04021853 | Medicaid | CO |
Other names 1
- HCA HealthONE Denver Internal Medicine
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0513831 | Denver Internal Medicine | Certificate of waiver | Apr 9, 2027 |
| 06D2283385 | HCA Healthone Gynecologic Oncology | Certificate of waiver | Jun 6, 2027 |
National Provider Directory
National Provider Directory- Part of
- Boulder Healthwater Cli
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729641600000",
"number": "1609916741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 E 9TH AVE",
"address_2": "SUITE 630",
"city": "DENVER",
"state": "CO",
"postal_code": "802203901",
"telephone_number": "303-320-2929",
"fax_number": "303-320-2767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 E 9TH AVE",
"address_2": "SUITE 630",
"city": "DENVER",
"state": "CO",
"postal_code": "802203901",
"telephone_number": "303-320-2929",
"fax_number": "303-320-2767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HCA-HEALTHONE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HCA-HEALTHONE, LLC",
"enumeration_date": "2007-02-07",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A",
"authorized_official_last_name": "PACK",
"authorized_official_first_name": "NATALIE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "713-527-5008"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CI1305",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04021853",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HCA HealthONE Denver Internal Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.