Creekside Cancer Care LLC

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

CREEKSIDE CANCER CARE LLC

Practice address

120 Old Laramie TRL E
Lafayette, CO 80026-7012

Phone

(303) 926-9800

Fax

(303) 926-9801

NPI assigned

Jul 27, 2009

Last updated

Oct 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Kelley Simpson, M.D.NPI 1871527754

Title

Medical Director

Phone

(303) 926-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Kelley Simpson, M.D.

  • Radiation Oncology Physician
  • Lafayette, CO
  • NPI 1871527754
  Authorized official Same address or phone

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1912137811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OLD LARAMIE TRL E",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267012",
            "telephone_number": "303-926-9800",
            "fax_number": "303-926-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OLD LARAMIE TRL E",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267012",
            "telephone_number": "303-926-9800",
            "fax_number": "303-926-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE CANCER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "KELLEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "303-926-9800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL AND GROUP PTAN",
            "identifier": "COB4795",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CPTN Prime (Rocky Mountain Rehab Alliance)
• Robert A Craig, D.D.S., M.S.
• Zoey Alexandra Crane, PA-C
• Fred A Crawford III, MD
• Richard A Creamer
• Creekside Specialty Physicians LLC
• Katie Croft
• Alyssa Nicole Cropp
• Croswaite Counseling, PLLC
• Misty D Crumbaugh

• Radiation Oncology Clinic/Center in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Radiation Oncology Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.