Northside Family Medicine, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

39800 Issued in CO

Legal business name

NORTHSIDE FAMILY MEDICINE, PC

Practice address

11487 Ames CT
Westminster, CO 80020-6836

Phone

(303) 905-2351

Fax

(303) 603-9420

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Timothy M Lewan, M.D.

Title

President

Phone

(303) 905-2351

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Jaime Wilson, PA-C

  • Physician Assistant
  • Byron Center, MI
  • NPI 1215119466
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1700843752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11487 AMES CT",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800206836",
            "telephone_number": "303-905-2351",
            "fax_number": "303-603-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11487 AMES CT",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800206836",
            "telephone_number": "303-905-2351",
            "fax_number": "303-603-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "LEWAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-905-2351",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67286861",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northpark SRGS PLLC
• Northpoint Colorado LLC
• Northpoint Colorado LLC
• Northpoint Colorado LLC
• Northpoint Colorado, LLC
• Northwest Regional ASC, LLC
• Not So Cliche TLC LLC
• Derek Notch, M.D.
• Nourish Your Body Today
• Adam Nowicki, MSW, LCSW

• Family Medicine Physician in Westminster, CO
• Providers in Westminster, 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 29, 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.