Provider Demographics
NPI:1275598229
Name:SOUTH DENVER MEDICINE ASSOCIATES PC
Entity Type:Organization
Organization Name:SOUTH DENVER MEDICINE ASSOCIATES PC
Other - Org Name:OSTEOPOROSIS CENTER OF HIGHLANDS RANCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-788-8355
Mailing Address - Street 1:4 W DRY CREEK CIR STE 230
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4458
Mailing Address - Country:US
Mailing Address - Phone:303-788-8355
Mailing Address - Fax:303-788-4448
Practice Address - Street 1:4 W DRY CREEK CIR STE 230
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4458
Practice Address - Country:US
Practice Address - Phone:303-788-8355
Practice Address - Fax:303-788-4448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-20
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO28405207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04021416Medicaid
COB2723OtherRAILROAD MEDICARE
CO01284058Medicaid