Active NPI
Mark E Laurnen, M D
- Anesthesiology Physician
- Golden, CO
National Provider Identifier
1679558365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 29825
- Practice address
- 660 Golden Ridge Rd
Suite 100
Golden, CO 80401-9541 - Phone
- (303) 963-1505
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 29825 | CO | Primary |
Addresses
Primary practice location
660 Golden Ridge Rd
Suite 100
Golden, CO 80401-9541
Mailing address
PO Box 150
Holly, CO 81047-0150
Phone (719) 537-0712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01298256 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29825 | CO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| US Anesthesia Partners of Colorado Inc. | Anesthesiology | Current | Accepting new patients |
Locations
1400 Jackson St
Denver, CO 80206
Phone (303) 388-4461
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
9191 Grant St
Thornton, CO 80229
Phone (303) 246-5003
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Castle Rock, CO
- NPI 1427685247
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1679558365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 150",
"city": "HOLLY",
"state": "CO",
"postal_code": "810470150",
"telephone_number": "719-537-0712",
"fax_number": "719-537-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 GOLDEN RIDGE RD",
"address_2": "SUITE 100",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804019541",
"telephone_number": "303-963-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURNEN",
"first_name": "MARK",
"middle_name": "E",
"credential": "M D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "29825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01298256",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.