Medex, LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

MEDEX, LLC

Practice address

Medex, LLC
98 Wadsworth Blvd, Unit 127-7122
Lakewood, CO 80226-1553

Phone

(303) 591-5767

NPI assigned

Mar 9, 2022

Last updated

Mar 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Francis Gibbons, PA-CNPI 1336279199

Title

Member

Phone

(303) 591-5767

Specialties & licenses 3

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, and the practitioner matching its NPPES authorized official.

• John F Gibbons, PA-C

  • Physician Assistant
  • Denver, CO
  • NPI 1336279199
  NPD (past) Authorized official

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1750038717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDEX, LLC",
            "address_2": "98 WADSWORTH BLVD, UNIT 127-7122",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261553",
            "telephone_number": "303-591-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDEX, LLC",
            "address_2": "98 WADSWORTH BLVD, UNIT 127-7122",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261553",
            "telephone_number": "303-591-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "303-591-5767",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09129227",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.