5280 Medical Concierge Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

5280 MEDICAL CONCIERGE INC

Practice address

10050 Ralston Rd Ste 1
Arvada, CO 80004-4974

Phone

(515) 447-3582

NPI assigned

Sep 24, 2020

Last updated

Jan 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ellie TitarenkoNPI 1164801841

Title

Owner, Authorized Official

Phone

(720) 583-6145

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Ellie Titarenko, NP

  • Adult Health Nurse Practitioner
  • Arvada, CO
  • NPI 1164801841
  NPD Authorized official
• Gabriel Rose Barrientos

  • Family Nurse Practitioner
  • Arvada, CO
  • NPI 1518742857
  NPD
• Kathryn Ruggiero, APN

  • Family Nurse Practitioner
  • Arvada, CO
  • NPI 1669270328
  NPD
• Jordan Zavala

  • Family Medicine Physician
  • Arvada, CO
  • NPI 1275256166

  Single Specialty

  NPD

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1659988616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 OAK ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802157161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 RALSTON RD STE 1",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044974",
            "telephone_number": "515-447-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5280 MEDICAL CONCIERGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "TITARENKO",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "720-583-6145"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Arvada, CO
• Providers in Arvada, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.