Organization Active NPI

Western Medical Center PC

  • Internal Medicine Physician
  • Lakewood, CO
National Provider Identifier
1861691719
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18721 Issued in CO
Legal business name
WESTERN MEDICAL CENTER PC
Practice address
1805 Kipling St
Lakewood, CO 80215
Phone
(303) 232-3232
Fax
(303) 232-3232
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Henry Manning Pickett, MD
Title
Medical Director Staff Physician
Phone
(303) 232-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 18721 CO Primary

Addresses

Primary practice location

1805 Kipling St
Lakewood, CO 80215

Mailing address

1805 Kipling St
Lakewood, CO 80215
Phone (303) 232-3232

Other identifiers 1

IdentifierTypeStateIssuer
04004966MedicaidCO

National Provider Directory

National Provider Directory

Locations

333 W Hampden Ave
Ste 1030
Englewood, CO 80110

Practitioners & affiliated clinicians

Practitioners 4

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": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1861691719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80215",
            "telephone_number": "303-232-3232",
            "fax_number": "303-232-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80215",
            "telephone_number": "303-232-3232",
            "fax_number": "303-232-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "MANNING",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR STAFF PHYSICIAN",
        "authorized_official_telephone_number": "303-232-3232",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "18721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04004966",
            "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 12, 2007; 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.