NPIMap

Organization Active NPI

Parker Integrated Medicine PC

  • General Practice Physician
  • Parker, CO
National Provider Identifier
1982142725
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
DR.0049380 Issued in CO
Legal business name
PARKER INTEGRATED MEDICINE PC
Practice address
18801 E Mainstreet Ste 190
Parker, CO 80134-3477
Phone
(303) 841-9565
NPI assigned
Feb 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Tamara Johnson, MDNPI 1992739890
Title
Medical Director
Phone
(303) 841-9565

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X DR.0049380 CO Primary

Addresses

Primary practice location

18801 E Mainstreet Ste 190
Parker, CO 80134-3477

Mailing address

18801 E Mainstreet Ste 190
Parker, CO 80134-3477
Phone (303) 841-9565

National Provider Directory

National Provider Directory

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": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1982142725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18801 E MAINSTREET STE 190",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343477",
            "telephone_number": "303-841-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18801 E MAINSTREET STE 190",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343477",
            "telephone_number": "303-841-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER INTEGRATED MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "303-841-9565",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CO",
            "license": "DR.0049380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.