NPIMap

Organization Active NPI

South Logan Family Practice

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1659789733
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2334 Issued in CO
Legal business name
SOUTH LOGAN FAMILY PRACTICE
Practice address
895 S Logan St
Denver, CO 80209-4127
Phone
(303) 733-3764
NPI assigned
Aug 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Shauntae Tala Murphy
Title
PA
Phone
(303) 733-3764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 2334 CO Primary

Addresses

Primary practice location

895 S Logan St
Denver, CO 80209-4127

Mailing address

895 S Logan St
Denver, CO 80209-4127

National Provider Directory

National Provider Directory
Tax ID family
South Logan Family Practice2 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.

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1659789733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 S LOGAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 S LOGAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094127",
            "telephone_number": "303-733-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LOGAN FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "SHAUNTAE",
        "authorized_official_middle_name": "TALA",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "303-733-3764"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 1, 2014; 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.