Organization Active NPI

Timberview Clinic

  • Internal Medicine Physician
  • Aurora, CO
National Provider Identifier
1649239575
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
208011, 206336 Issued in CO
Legal business name
TIMBERVIEW CLINIC
Practice address
1400 S Potomac St
Suite 215
Aurora, CO 80012-4528
Phone
(303) 306-1039
Fax
(303) 306-1050
NPI assigned
Mar 20, 2006
Last updated
Nov 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Mr. Ron Sharp
Title
Office Manager
Phone
(303) 269-4464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 208011, 206336 CO Primary
Pediatrics Physician 208000000X 77105,77106 CO

Addresses

Primary practice location

1400 S Potomac St
Suite 215
Aurora, CO 80012-4528

Mailing address

1400 S Potomac St
Suite 215
Aurora, CO 80012-4528
Phone (303) 306-1039

Other identifiers 1

IdentifierTypeStateIssuer
12721042MedicaidCO

National Provider Directory

National Provider Directory

Locations

1400 S Potomac St
Ste 215
Aurora, CO 80012
Phone (303) 306-1039

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": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1649239575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S POTOMAC ST",
            "address_2": "SUITE 215",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124528",
            "telephone_number": "303-306-1039",
            "fax_number": "303-306-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S POTOMAC ST",
            "address_2": "SUITE 215",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124528",
            "telephone_number": "303-306-1039",
            "fax_number": "303-306-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERVIEW CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-269-4464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "208011, 206336",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "77105,77106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12721042",
            "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 Nov 30, 2009; 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.