Organization Active NPI

Christopher M Courtney MD PC

  • Specialist
  • Englewood, CO
National Provider Identifier
1770037871
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
33422 Issued in CO
Legal business name
CHRISTOPHER M COURTNEY MD PC
Practice address
3601 S Clarkson St Ste 100
Englewood, CO 80113-3945
Phone
(303) 788-7430
Fax
(303) 788-7437
NPI assigned
Aug 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Sandy Courtney
Title
Accounting Manager
Phone
(303) 788-7430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 33422 CO Primary

Addresses

Primary practice location

3601 S Clarkson St Ste 100
Englewood, CO 80113-3945

Mailing address

3601 S Clarkson St Ste 100
Englewood, CO 80113-3945
Phone (303) 788-7430

Other identifiers 1

IdentifierTypeStateIssuer
01334226MedicaidCO

Other names 1

  • CHRISTOPHER M COURTNEY MD PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190625004042 CO Part B Supplier - Clinic/Group Practice 8426382458 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood, CO

National Provider Directory

National Provider Directory

Locations

601 E Hampden Ave
Ste 160
Englewood, CO 80113
Phone (303) 788-4662

601 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-3150

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1770037871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133945",
            "telephone_number": "303-788-7430",
            "fax_number": "303-788-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133945",
            "telephone_number": "303-788-7430",
            "fax_number": "303-788-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER M COURTNEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "303-788-7430"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "33422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01334226",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTOPHER M COURTNEY MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.