NPIMap

Organization Active NPI

Family Medicine Associates

  • Physician Assistant
  • Broomfield, CO
National Provider Identifier
1639533656
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004585 Issued in CO
Legal business name
FAMILY MEDICINE ASSOCIATES
Practice address
1022 Depot Hill Rd
Broomfield, CO 80020-1068
Phone
(303) 465-2323
Fax
(303) 465-1260
NPI assigned
Apr 6, 2016
Last updated
Apr 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Elisabeth Kandel, MDNPI 1427158047
Title
Owner
Phone
(303) 465-2323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA.0004585 CO Primary

Addresses

Primary practice location

1022 Depot Hill Rd
Broomfield, CO 80020-1068

Mailing address

1022 Depot Hill Rd
Broomfield, CO 80020-1068
Phone (303) 465-2323

National Provider Directory

National Provider Directory
Tax ID family
Family Medicine Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1639533656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 DEPOT HILL RD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201068",
            "telephone_number": "303-465-2323",
            "fax_number": "303-465-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 DEPOT HILL RD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201068",
            "telephone_number": "303-465-2323",
            "fax_number": "303-465-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "KANDEL",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-465-2323",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.