Organization Active NPI

Ksiazek Medical Services P.C.

  • Physical Medicine & Rehabilitation Physician
  • Lakewood, CO
National Provider Identifier
1891090288
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
30621 Issued in CO
Legal business name
KSIAZEK MEDICAL SERVICES P.C.
Practice address
65 S Wadsworth Blvd
Lakewood, CO 80226-1513
Phone
(303) 934-3600
Fax
(303) 934-1559
NPI assigned
Jan 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Dr. Karen Ksiazek, MDNPI 1386640373
Title
President
Phone
(303) 934-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 30621 CO Primary

Addresses

Primary practice location

65 S Wadsworth Blvd
Lakewood, CO 80226-1513

Mailing address

65 S Wadsworth Blvd
Lakewood, CO 80226-1513
Phone (303) 934-3600

Other identifiers 1

IdentifierTypeStateIssuer
01306216MedicaidCO

Other names 1

  • Karen Ksiazek MD Doing business as

National Provider Directory

National Provider Directory

Locations

8333 Ralston Rd
Ste 1
Arvada, CO 80002
Phone (303) 424-0401

65 S Wadsworth Blvd
Lakewood, CO 80226
Phone (303) 934-3600

Practitioners & affiliated clinicians

Practitioners 6

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": "1295222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1891090288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 S WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261513",
            "telephone_number": "303-934-3600",
            "fax_number": "303-934-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 S WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261513",
            "telephone_number": "303-934-3600",
            "fax_number": "303-934-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSIAZEK MEDICAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-17",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "KSIAZEK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-934-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "30621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01306216",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karen Ksiazek MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 13, 2016; 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.