Community Supported Family Medicine LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

47573 Issued in CO

Legal business name

COMMUNITY SUPPORTED FAMILY MEDICINE LLC

Doing business as

CSFM

Practice address

3333 S Bannock St Ste 820
Englewood, CO 80110-2422

Phone

(303) 883-1417

Fax

(303) 500-6966

NPI assigned

Aug 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Robin Elizabeth Dickinson, M.D.NPI 1659511657

Title

Physician/Ownder

Phone

(303) 883-1417

Specialties & licenses 1

Addresses

Other names 1

• CSFM Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin Elizabeth Dickinson, MD

  • Family Medicine Physician
  • Englewood, CO
  • NPI 1659511657
  NPD (past) Authorized official

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1992137988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S BANNOCK ST STE 820",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102422",
            "telephone_number": "303-883-1417",
            "fax_number": "303-500-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S BANNOCK ST STE 820",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102422",
            "telephone_number": "303-883-1417",
            "fax_number": "303-500-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORTED FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNDER",
        "authorized_official_telephone_number": "303-883-1417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "47573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSFM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Donald J Conner, MD

• Primary Care Clinic/Center in Englewood, CO
• Providers in Englewood, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.