Active NPI
Western Medical Center PC
- Internal Medicine Physician
- Lakewood, CO
National Provider Identifier
1861691719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18721
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04004966 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Registered Nurse
- Littleton, CO
- NPI 1760784698
-
- Family Medicine Physician
- Lakewood, CO
- NPI 1750482303
-
- Nurse Practitioner
- Golden, CO
- NPI 1255366720
-
- Nurse Practitioner
- Denver, CO
- NPI 1174788830
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
- Vanessa West
- William G Westergard, MAOTR
- Western Hematology Oncology Associates, P.C.
- Western Infectious Disease Consultants, P.C.
- Western Infectious Disease Infusion Center, Inc
- Western Nephrology & Metabolic Bone Disease, P.C.
- Westgate Family Dentistry
- Crystal Westlund
- Anne G Westmeier, M.A. CCC-SLP
- Gabrielle Westmoreland
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.