Amy Eeman Ghaibeh MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AMY EEMAN GHAIBEH MD LLC

Practice address

1420 W Canal CT Ste 100
Littleton, CO 80120-5656

Phone

(720) 639-6359

Fax

(303) 791-2241

NPI assigned

Aug 16, 2024

Organization subpart

No

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

Authorized official

Name

Amy E Ghaibeh, MDNPI 1396832960

Title

Physician / Owner

Phone

(720) 218-4987

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

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

• Amy Eeman Ghaibeh, MD

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1396832960
  Medicare reassignment NPD Authorized official
• William T Gipson, M.D.

  • Internal Medicine Physician
  • Littleton, CO
  • NPI 1023003316
  NPD (past)

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1811729064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W CANAL CT STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205656",
            "telephone_number": "720-639-6359",
            "fax_number": "303-791-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W CANAL CT STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205656",
            "telephone_number": "720-639-6359",
            "fax_number": "303-791-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY EEMAN GHAIBEH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "GHAIBEH",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "720-218-4987",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Littleton, CO
• Providers in Littleton, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.