Organization Active NPI

Arapahoe Gastroenterology PC

  • Specialist
  • Littleton, CO
National Provider Identifier
1689736035
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ARAPAHOE GASTROENTEROLOGY PC
Practice address
1001 Southpark Dr
Littleton, CO 80120-5641
Phone
(303) 531-5724
Fax
(303) 531-5728
NPI assigned
Dec 14, 2006
Last updated
Apr 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Lance Goudzwaard, CEO
Title
Ceo
Phone
(303) 722-8987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1001 Southpark Dr
Littleton, CO 80120-5641

Mailing address

1001 Southpark Dr
Littleton, CO 80120-5641
Phone (303) 531-5724

Other identifiers 1

IdentifierTypeStateIssuer
04004248MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1689736035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SOUTHPARK DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205641",
            "telephone_number": "303-531-5724",
            "fax_number": "303-531-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SOUTHPARK DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205641",
            "telephone_number": "303-531-5724",
            "fax_number": "303-531-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARAPAHOE GASTROENTEROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "GOUDZWAARD",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-722-8987",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04004248",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.