Clear Creek Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38104 Issued in CO

Legal business name

CLEAR CREEK FAMILY PRACTICE

Practice address

7615 W 38TH Ave
Ste B117
Wheat Ridge, CO 80033-6172

Phone

(303) 232-5354

Fax

(303) 239-8878

NPI assigned

Aug 31, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Karen Lyna Larson, MD

Title

Owner Physician

Phone

(303) 232-5354

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1861486219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 W 38TH AVE",
            "address_2": "STE B117",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336172",
            "telephone_number": "303-232-5354",
            "fax_number": "303-239-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 W 38TH AVE",
            "address_2": "STE B117",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336172",
            "telephone_number": "303-232-5354",
            "fax_number": "303-239-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CREEK FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNA",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "303-232-5354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "38104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Francis Clark, MD
• Forrest Joshua Clark
• Michael Adam Clark
• Kerry Clarke, MD
• Sarah E Claus
• Clear Creek Surgery Center LLC
• Taylor S Clepper, LCSW
• Michael Craig Clodius, LPC
• Kathleen Marie Close
• Amy Rahn Cobb

• Family Medicine Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, 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 Oct 20, 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.