Organization Active NPI

Garrison Family Physicians PC

  • Family Medicine Physician
  • Lakewood, CO
National Provider Identifier
1851362420
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GARRISON FAMILY PHYSICIANS PC
Practice address
205 S Garrison St
Lakewood, CO 80226-2843
Phone
(303) 237-2779
Fax
(303) 237-4428
NPI assigned
Jan 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Authorized official

Name
Jeffrey A Amundson, M.D.
Title
Physician
Phone
(303) 237-2779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X CO Primary

Addresses

Primary practice location

205 S Garrison St
Lakewood, CO 80226-2843

Mailing address

205 S Garrison St
Lakewood, CO 80226-2843
Phone (303) 237-2779

Other identifiers 1

IdentifierTypeStateIssuer
04014379MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1851362420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S GARRISON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262843",
            "telephone_number": "303-237-2779",
            "fax_number": "303-237-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S GARRISON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262843",
            "telephone_number": "303-237-2779",
            "fax_number": "303-237-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRISON FAMILY PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "AMUNDSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "303-237-2779",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04014379",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.