LAKEWOOD INTERNAL MEDICINE PROFESSIONAL LLC (NPI# 1457548265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457548265 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD INTERNAL MEDICINE PROFESSIONAL LLC |
| Practice Address |
1805 Kipling St Lakewood CO 80215-2873 |
| Practice Telephone | 3032319700 |
| Mailing Telephone | 3032319700 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2019-09-09 |
| Authorized Official Name | DR. DAVID MARC LEON (OWNER) |
| Authorized Official Telephone | 3032319700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | CO | Ambulatory Health Care Facilities |
| Street Address |
1805 KIPLING ST |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80215-2873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144294638 | Vernon Milan Smith Jr. | Internal Medicine | 1805 Kipling St, Lakewood, CO 80215-1477 | 2006-02-14 |
| 1225296809 | Prestige Healthcare Associates, Lpa | Clinic/Center | 1805 Kipling St, Suite 109, Lakewood, CO 80215-2873 | 2008-05-29 |
| 1093998890 | Vernon M. Smith Jr, Md PC | Internal Medicine | 1805 Kipling St, Lakewood, CO 80215-1477 | 2007-12-14 |
| 1346423514 | Douglas H. Kirkpatrick,md,pc | Obstetrics & Gynecology | 1805 Kipling St, Suite 107, Lakewood, CO 80215-2873 | 2007-12-11 |
| 1861691719 | Western Medical Center PC | Internal Medicine | 1805 Kipling St, Lakewood, CO 80215 | 2007-07-12 |
| 1902964075 | H Maning Pickett | Internal Medicine | 1805 Kipling St, Suite 100, Lakewood, CO 80215 | 2006-12-04 |
| 1154379840 | Kevin R Clemmer | Family Medicine | 1805 Kipling St, Suite 109, Lakewood, CO 80215-2873 | 2006-05-04 |
| 1992766877 | James F Day | Legal Medicine | 1805 Kipling St, Lakewood, CO 80215-2873 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199566 | Alta Vista Center for Autism | Speech-Language Pathologist | 2001 Hoyt Street, Lakewood, CO 80215 | 2020-06-17 |
| 1871154419 | Ahc of Lakewood, LLC | Skilled Nursing Facility | 1565 Pierson Street, Lakewood, CO 80215 | 2019-06-25 |
| 1235646209 | Ashley Wiersma | Social Worker | 9485 W. Colfax Ave, Lakewood, CO 80215 | 2017-12-29 |
| 1619480563 | Amy Christine Ladebue | Counselor | 2596 Moore St, Lakewood, CO 80215 | 2017-11-14 |
| 1407374408 | Carly Young | Physician Assistant | 11171 W 17th Ave, Apt 303, Lakewood, CO 80215 | 2017-08-30 |
| 1356876700 | Our Family Care Home Assisted Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1169 Johnson Street, Lakewood, CO 80215 | 2017-04-24 |
| 1194263251 | Daniela Rosenberg | Student in an Organized Health Care Education/Training Program | 9845 W. Colfax Avenue, Jefferson Center for Mental Health, Lakewood, CO 80215 | 2017-02-08 |
| 1033596747 | Autumn Grove | Physical Therapist | 11185 W. 6th Avenue, Lakewood, CO 80215 | 2015-05-01 |
| 1649690264 | Neil George Norton | Dentist | 9990 W. 26th Ave, Lakewood, CO 80215 | 2014-04-22 |
| 1366873820 | Whitney Anne Post | Counselor | 1439 Estes St., Lakewood, CO 80215 | 2013-12-10 |
| Find all providers in zip 80215 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
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| 1174988802 | My Care Urgent Care LLC | Clinic/Center | 108 Hillside Blvd, Lakewood, NJ 08701-3148 | 2015-12-23 |
| 1992187553 | Colorado Optimal Health | Clinic/Center | 200 Union Blvd Ste 430, Lakewood, CO 80228-1832 | 2015-06-19 |
| 1295997153 | Ace Counseling LLC | Clinic/Center | 959 S Saulsbury St, Lakewood, CO 80226-4513 | 2008-07-01 |
| 1265654958 | Avalon Clinic | Clinic/Center | 6103 Mount Tacoma Dr Sw, Lakewood, WA 98499-2727 | 2007-05-03 |
| 1952526675 | South Cerritos Medical Group, Inc. | Clinic/Center | 20927 Norwalk Blvd, Lakewood, CA 90715-1545 | 2007-04-16 |
| 1568002137 | Cleveland Performance Chiropractic, LLC | Clinic/Center | 15713 Detroit Ave, Lakewood, OH 44107-3709 | 2020-01-13 |
| 1699271221 | Sound Body Chiropractic and Wellness LLC | Clinic/Center | 12792 W Alameda Pkwy Ste E, Lakewood, CO 80228-2846 | 2018-04-03 |
| 1699276980 | Rocky Mountain Youth Medical and Nursing Consultants, Inc | Clinic/Center | 355 Union Blvd, 100, Lakewood, CO 80228-1500 | 2018-02-22 |
| Find all providers in LAKEWOOD | ||||
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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.