Family Medicine Associates
Physician Assistant in Broomfield, CO. Organization (NPI-2).
NPI number1639533656
StatusActive
Last updated in NPPESApr 6, 2016
Details
- NPI
- 1639533656
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Medicine Associates
- Organization subpart
- No
- Enumeration date
- Apr 6, 2016
- Last updated
- Apr 6, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA.0004585 | CO | Yes |
Practice location
1022 Depot Hill RdBroomfield, CO 80020-1068
Phone 303-465-2323 · Fax 303-465-1260
Mailing address
1022 Depot Hill RdBroomfield, CO 80020-1068
Phone 303-465-2323 · Fax 303-465-1260
Authorized official
Elisabeth Kandel
Owner
3034652323
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