Debby Jean Faes, PA C

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

426 Issued in CO

Practice address

3655 Lutheran Parkway
Suite 300
Wheat Ridge, CO 80033-6011

Phone

(720) 284-3700

Fax

(303) 467-0525

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Debby Fick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700092145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 STUART ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122925",
            "telephone_number": "303-458-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LUTHERAN PARKWAY",
            "address_2": "SUITE 300",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336011",
            "telephone_number": "720-284-3700",
            "fax_number": "303-467-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAES",
        "first_name": "DEBBY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41429869",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBY",
            "last_name": "FICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Eye Center of Northern Colorado, P.C.
• Eye Center Optical of Northern Colorado LLC
• Annelle Marie Fahlsing, RNC,NNP
• Geraldine G Fahrenbrook, PT
• Tamara S Faktor, PT
• Allison Fall, MD
• Family Tree, Inc

• Pediatrics Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.