Active NPI
Family Centered Medicine, Inc
- General Practice Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- FAMILY CENTERED MEDICINE, INC
- Practice address
- 2121 S Oneida St Ste 248
Denver, CO 80224-2551 - Phone
- (303) 504-0600
- NPI assigned
- Mar 3, 2008
- 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
- Mr. Peter Thomas Prutch, NP
- Title
- Owner
- Phone
- (303) 504-0600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
2121 S Oneida St Ste 248
Denver, CO 80224-2551
Mailing address
2121 S Oneida St Ste 248
Denver, CO 80224-2551
Phone (303) 504-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15883825 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D1096374 | Family Centered Medicine, Inc | Certificate of waiver | Mar 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
2121 S Oneida St
Ste 248
Denver, CO 80224
Phone (303) 504-0600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Denver, CO
- NPI 1497792543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204502400000",
"number": "1972773232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 S ONEIDA ST STE 248",
"city": "DENVER",
"state": "CO",
"postal_code": "802242551",
"telephone_number": "303-504-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 S ONEIDA ST STE 248",
"city": "DENVER",
"state": "CO",
"postal_code": "802242551",
"telephone_number": "303-504-0600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CENTERED MEDICINE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-03",
"last_updated": "2008-03-03",
"status": "A",
"authorized_official_last_name": "PRUTCH",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-504-0600",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15883825",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.