POTOMAC SQUARE FAMILY MEDICINE, LLC (NPI# 1609485382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609485382 |
| Entity Type | Organization |
| Organization Name | POTOMAC SQUARE FAMILY MEDICINE, LLC |
| Practice Address |
730 W Hampden Ave Ste 200 Englewood CO 80110-2129 |
| Mailing Address |
Po Box 173848 Denver CO 80217-3848 |
| Practice Telephone | 7209747466 |
| Practice Fax Number | 3039537274 |
| Mailing Telephone | 3039453299 |
| Mailing Fax Number | 3033414708 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | TRESA SWITZER (CORPORATE CONTROLLER) |
| Authorized Official Telephone | 3033414730 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 91425859 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263174 | Potomac Square Family Medicine, LLC | Physical Therapist | 2595 S Lewis Way Ste A, Lakewood, CO 80227-6555 | 2020-07-28 |
| 1447869136 | Potomac Square Family Medicine, LLC | Physical Therapist | 20270 E Smoky Hill Rd, Centennial, CO 80015-3138 | 2020-07-28 |
| 1306455092 | Potomac Square Family Medicine, LLC | Physical Therapist | 6080 W 92nd Ave Ste 1000, Westminster, CO 80031-2935 | 2020-07-28 |
| 1861001554 | Potomac Square Family Medicine, LLC | Physical Therapist | 805 S Broadway St Ste 103, Boulder, CO 80305-5972 | 2020-07-28 |
| 1740235548 | Potomac Square Family Medicine, LLC | Physical Therapist | 13650 E Mississippi Ave Ste 110, Aurora, CO 80012-3573 | 2006-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | POTOMAC SQUARE FAMILY MEDICINE, LLC | 750 W. Hampden Ave., Suite 105, Englewood, CO 80110 |
| Street Address |
730 W HAMPDEN AVE STE 200 |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80110-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194730689 | Brian Joseph Beatty | Family Medicine | 730 W Hampden Ave Ste 200, Englewood, CO 80110-2129 | 2006-07-31 |
| 1952928376 | Rocky Mountain Urgent Care, LLC | Clinic/Center | 730 W Hampden Ave Ste 200, Englewood, CO 80110-2129 | 2020-07-01 |
| 1619445574 | Paige Eileen Lewis | Physical Therapy Assistant | 730 W Hampden Ave Ste 200, Englewood, CO 80110-2129 | 2018-11-08 |
| 1578004511 | Grace Edstrom | Social Worker | 730 W Hampden Ave Ste 200, Englewood, CO 80110-2129 | 2017-03-09 |
| 1619335486 | Jasmine Wells | Physician Assistant | 730 W Hampden Ave Ste 200, Englewood, CO 80110-2129 | 2016-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803305 | Jamie Katherine Mcnair | Counselor | 3460 S. Sheridan Blvd., Sheridan, CO 80110 | 2020-02-20 |
| 1285152926 | Julie Sw Zhu | Nurse's Aide | 4141 S Navajo Street Apt 504a, Englewood, CO 80110 | 2017-09-01 |
| 1457878183 | Ryan Lynch | Counselor | 1455 Beeler St., Aurora, CO 80110 | 2017-08-24 |
| 1326565177 | Fredric M Sonstein Md Mba Pllc | Neurological Surgery | 333 W Hampden Ave Ste 800, Englewood, CO 80110 | 2017-08-23 |
| 1285160283 | No Smile Left Behind Pllc | Dentist | 750 W Hampden Avenue, Suite 516, Englewood, CO 80110 | 2017-05-11 |
| 1619369949 | Infinite Diagnostics, LLC | Clinical Medical Laboratory | 730 W Hamden Ave, Suite 200, Englewood, CO 80110 | 2015-02-24 |
| 1861833386 | Hospice Care of The Rockies LLC | Hospice Care, Community Based | 750 W Hampden Ave Ste 280, Englewood, CO 80110 | 2013-07-12 |
| 1336496470 | Michelle L Gambel | Physical Therapist | 401 W Hampden Pl Ste 10, Englewood, CO 80110 | 2012-08-08 |
| 1467729012 | Angela Johnson | Social Worker | 333 West Hampton Ave. Suite 705, Denver, CO 80110 | 2011-11-28 |
| 1881986479 | Angela Han Choi | Registered Nurse | 750 W Hampden Ave Ste 105, Englewood, CO 80110 | 2011-05-13 |
| Find all providers in zip 80110 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154626133 | Yeun Sook Kim | Clinic/Center | 533 Cumberland St, Englewood, NJ 07631-4705 | 2011-01-21 |
| 1407028657 | Alex R Pavon Md PC | Clinic/Center | 106 W Palisade Ave, Suite 101, Englewood, NJ 07631-2633 | 2008-03-27 |
| 1306451612 | Arapahoe Mental Health Center, Inc | Clinic/Center | 155 Inverness Dr W, Englewood, CO 80112-5000 | 2020-09-14 |
| 1780299263 | Arapahoe Mental Health Center, Inc | Clinic/Center | 116 Inverness Dr E Ste 105, Englewood, CO 80112-5125 | 2020-09-11 |
| 1477182665 | Community Supported Family Medicine, LLC | Clinic/Center | 3333 S Bannock St Ste 400, Englewood, CO 80110-2436 | 2020-04-08 |
| 1568910610 | Gabrielle Josephine Mulderrig | Clinic/Center | 154 Engle St, Englewood, NJ 07631-2507 | 2016-09-19 |
| 1902275712 | Integrative Pediatric Health Care, LLC | Clinic/Center | 3701 S Clarkson St Ste 200, Englewood, CO 80113-3960 | 2015-09-22 |
| 1952732463 | Vision Lab, Inc. | Clinic/Center | 850 Englewood Pkwy, 100a, Englewood, CO 80110 | 2013-12-09 |
| 1992137988 | Community Supported Family Medicine LLC | Clinic/Center | 3333 S Bannock St Ste 820, Englewood, CO 80110-2422 | 2013-08-01 |
| 1427393271 | Arapahoe Mental Health Center, Inc | Clinic/Center | 155 Inverness Dr W, Englewood, CO 80112-5095 | 2012-12-05 |
| Find all providers in ENGLEWOOD | ||||
Please comment or provide details below to improve the information on POTOMAC SQUARE FAMILY MEDICINE, LLC.
| 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.