LAKEWOOD MEDICAL CENTER (NPI# 1295864833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295864833 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD MEDICAL CENTER |
| Practice Address |
2020 Wadsworth Blvd #17 Lakewood CO 80214-5728 |
| Practice Telephone | 3032381488 |
| Mailing Telephone | 3032381488 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. HAI PHONG BUI (CEO) |
| Authorized Official Telephone | 3032381488 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 33410 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | STATE LISCENSE | 33410 | 01 |
| CO | 01334101 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Lakewood Medical Center Corporation | 1700 Wadsworth Blvd, Lakewood, CO 80214 |
| Colorado Business Entities | Lakewood Medical Center P.C. | 1700 Wadsworth, Lakewood, CO 80214 |
| Street Address |
2020 WADSWORTH BLVD #17 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80214-5728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609869528 | Edra Blackburn Weiss | Pediatrics | 2020 Wadsworth Blvd, Ste 16, Lakewood, CO 80214-5730 | 2005-08-25 |
| 1902323637 | Brett Wolff | Community/Behavioral Health | 2020 Wadsworth Blvd, Lakewood, CO 80214-5728 | 2017-08-24 |
| 1740730621 | American Transit Express | Non-emergency Medical Transport (VAN) | 2020 Wadsworth Blvd, Unit 15, Lakewood, CO 80214-5728 | 2016-10-04 |
| 1427407766 | Royal Adult Day Center | Voluntary or Charitable | 2020 Wadsworth Blvd, Unit 15, Lakewood, CO 80214-5728 | 2016-06-07 |
| 1578964771 | Lauren Sterner | Nurse Practitioner | 2020 Wadsworth Blvd, Suite Number 16, Lakewood, CO 80214-5728 | 2014-09-08 |
| 1609215094 | Alicia Bourassa Hudson | Pediatrics | 2020 Wadsworth Blvd, # 16, Lakewood, CO 80214-5728 | 2013-06-18 |
| 1366747438 | Jill Barbara Meyer | Nurse Practitioner | 2020 Wadsworth Blvd, Suite 16, Lakewood, CO 80214-5728 | 2011-01-20 |
| 1043515240 | Madeline Louise Nichols | Nurse Practitioner | 2020 Wadsworth Blvd, Suite 16, Lakewood, CO 80214-5728 | 2011-01-19 |
| 1609171271 | Gail Nelson Griffin | Nurse Practitioner | 2020 Wadsworth Blvd, Suite 16, Lakewood, CO 80214-5728 | 2011-01-12 |
| 1629207717 | Kyla Renea Fant | Dentist | 2020 Wadsworth Blvd, Ste 9, Lakewood, CO 80214-5728 | 2009-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266128 | Audra Perez | Social Worker | 1750 Pierce Street Suite C, Lakewood, CO 80214 | 2019-07-08 |
| 1508347758 | Robin Noel Mackin | Speech-Language Pathologist | 2401 Lamar Street, Edgewater, CO 80214 | 2018-08-26 |
| 1932636065 | Tamika Thomas | Counselor | 950 Wadsworth Blvd Ste 203, Lakewood, CO 80214 | 2017-05-19 |
| 1902353568 | Holly Carpenter | Counselor | 1410 Vance St, Lakewood, CO 80214 | 2016-09-01 |
| 1285094672 | Danijela Jankovic | Dentist | 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 | 2016-02-29 |
| 1053784207 | Dale Kim | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214 | 2015-11-10 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1265879498 | Diana M Arvizo | Occupational Therapy Assistant | 1685 Eaton St., Lakewood, CO 80214 | 2013-05-29 |
| 1528332731 | Jennifer Anderson | Physical Therapist | 5354 W 25th Ave, Edgewater, CO 80214 | 2012-03-06 |
| Find all providers in zip 80214 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859014 | Scl Physicians - Rmpc LLC | Internal Medicine | 8585 W 14th Ave Ste B-2, Lakewood, CO 80215-4860 | 2020-07-28 |
| 1972165637 | Bellevue Medical Clinic LLC | Internal Medicine | 8725 S Tacoma Way, Lakewood, WA 98499-4544 | 2019-07-02 |
| 1578031910 | Promed Service Center Inc. | Internal Medicine | 4910 Castana Ave, Lakewood, CA 90712-3234 | 2018-11-04 |
| 1992271597 | Trinity Medical Care | Internal Medicine | 3650 South St Ste 110, Lakewood, CA 90712-1534 | 2018-10-22 |
| 1235646191 | Lake Point Medical Group,llc | Internal Medicine | 15800 Detroit Ave Ste 2a, Lakewood, OH 44107-3748 | 2018-01-01 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1073961710 | Susan S Rupp | Internal Medicine | 1840 S Manor Ln, Lakewood, CO 80232-7144 | 2016-06-02 |
| 1285001610 | Margaret Toth | Internal Medicine | 2217 Woodward Ave, Lakewood, OH 44107-5734 | 2015-09-02 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1871865287 | Sam W. Abdelmelek,md,inc. | Internal Medicine | 5750 Downey Ave Ste 201, Lakewood, CA 90712-1468 | 2012-01-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.