Internal Medicine Assoc. of Wheat Ridge, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTERNAL MEDICINE ASSOC. OF WHEAT RIDGE, P.C.

Practice address

1805 Kipling St.
Lakewood, CO 80215

Phone

(303) 422-3727

Fax

(303) 467-9354

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Audrey Ray Dobbs, M.D.

Title

M.D.

Phone

(303) 422-3727

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Karen K. Charland, NP

  • Nurse Practitioner
  • Granby, CO
  • NPI 1205974011
  Medicare reassignment Care Compare group NPD
• Joanne Elizabeth Ruch, M.D.

  • Internal Medicine Physician
  • Lakewood, CO
  • NPI 1659447787
  Medicare reassignment Care Compare group NPD
• Aubrey Ray Dobbs, M.D.

  • Internal Medicine Physician
  • Lakewood, CO
  • NPI 1316007826
  Medicare reassignment Care Compare group
• Bridget Eileen Forsmark, P.A.-C.

  • Medical Physician Assistant
  • Lakewood, CO
  • NPI 1891021945
  Medicare reassignment Care Compare group
• Susan Lesnoy Schiff, M.D.

  • Internal Medicine Physician
  • Lakewood, CO
  • NPI 1386710424
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1720139868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 KIPLING ST.",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80215",
            "telephone_number": "303-422-3727",
            "fax_number": "303-467-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 KIPLING ST.",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80215",
            "telephone_number": "303-422-3727",
            "fax_number": "303-467-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOC. OF WHEAT RIDGE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "DOBBS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "303-422-3727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01206127",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01289115",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01346295",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01351261",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01317775",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Caroline Marie Ioele
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• Tamara Diane Ireland, BIRTH DOULA

• Specialist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.