City Park Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CITY PARK FAMILY PRACTICE PC

Practice address

2040 High St
Denver, CO 80205-5556

Phone

(303) 388-4091

Fax

(303) 377-0967

NPI assigned

Jun 24, 2006

Last updated

Dec 7, 2011By 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

L Elane Shirar

Title

President

Phone

(303) 388-4091

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

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.

• Patricia Anne Bolshoun, PAC

  • Medical Physician Assistant
  • Aurora, CO
  • NPI 1326105644
  NPD (past)
• Laura A Greene, FNP

  • Family Nurse Practitioner
  • Aurora, CO
  • NPI 1992901938
  NPD (past)
• Denise M Lowery, WHNP

  • Nurse Practitioner
  • Denver, CO
  • NPI 1932140415
  NPD (past)
• Aileen M Waters, N.P.

  • Nurse Practitioner
  • Lakewood, CO
  • NPI 1689727216
  NPD (past)
• Julie Himstedt, PA

  • Medical Physician Assistant
  • Salt Lake City, UT
  • NPI 1558512996
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1780610428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 HIGH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055556",
            "telephone_number": "303-388-4091",
            "fax_number": "303-377-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 HIGH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055556",
            "telephone_number": "303-388-4091",
            "fax_number": "303-377-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY PARK FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "SHIRAR",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "ELANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-388-4091"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10673741",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Craig Citron, M.D.
• City and County of Denver
• City of Aurora (Morning Star Adult Day Program)
• City Park Care Group LLC
• City Park Dental Group, LLP (City Park Dental Group)
• City Roots Dental PLLC
• City Scape Rehabilitation & Care Center LLC
• City Scape Rehabilitation & Care Center LLC
• City Smiles
• City Transport LLC,

• 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 Dec 7, 2011; 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.