Avenue Primary Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0030538 Issued in CO

Legal business name

AVENUE PRIMARY CARE

Practice address

1700 N Marion St
Denver, CO 80218-1121

Phone

(303) 860-7770

Fax

(303) 860-7775

NPI assigned

Jan 18, 2017

Organization subpart

No

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

Authorized official

Name

Matthew D McCoy, MD

Title

President

Phone

(303) 860-7770

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1760928444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N MARION ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181121",
            "telephone_number": "303-860-7770",
            "fax_number": "303-860-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N MARION ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181121",
            "telephone_number": "303-860-7770",
            "fax_number": "303-860-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-860-7770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0030538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104961390",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avalon Surgical PC
• Lauren Nova Avalon
• Sarah Avant, MA, LPCC
• Claire Josephine Avante, PHARM.D.
• Anthony L Avelar, CAC I
• Robert E Averbach, DDS
• Courtney Averill, LMT
• Lisa Averna, CMT, LMT
• Anna Avery
• Jane Avery, CNM

• Family Medicine Physician in Denver, CO
• Providers in Denver, 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 18, 2017; 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.