Provider Demographics
NPI:1629199062
Name:CHRMEG MED INC
Entity Type:Organization
Organization Name:CHRMEG MED INC
Other - Org Name:PARKER FAMILY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:303-805-2273
Mailing Address - Street 1:10259 S. PARKER ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134
Mailing Address - Country:US
Mailing Address - Phone:303-805-2273
Mailing Address - Fax:303-805-2287
Practice Address - Street 1:10259 S. PARKER ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134
Practice Address - Country:US
Practice Address - Phone:303-805-2273
Practice Address - Fax:303-805-2287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO40652207Q00000X
CO1179363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO40652OtherPHYSICIAN STATE LICENSE
CO1790838266OtherNPI FOR MIDLEVEL PROVIDER
CO1179OtherLICENSE FOR MIDLEVEL PROV
CO126549112OtherPHYSICIAN NPI
CO1179OtherLICENSE FOR MIDLEVEL PROV
CO126549112OtherPHYSICIAN NPI
CO40652OtherPHYSICIAN STATE LICENSE