Basic Information
Provider Information
NPI: 1851933063
EntityType: 2
ReplacementNPI:  
OrganizationName: ONPOINT MEDICAL GROUP, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: BURROWS INTERNAL MEDICINE
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1805 SHEA CENTER DR STE 301
Address2:  
City: HIGHLANDS RANCH
State: CO
PostalCode: 801292277
CountryCode: US
TelephoneNumber: 3033572559
FaxNumber:  
Practice Location
Address1: 9218 KIMMER DR STE 207
Address2:  
City: LONE TREE
State: CO
PostalCode: 801246733
CountryCode: US
TelephoneNumber: 7204939006
FaxNumber: 7202427520
Other Information
ProviderEnumerationDate: 10/09/2019
LastUpdateDate: 12/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: LENNON
AuthorizedOfficialFirstName: KATIE
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: DIRECTOR, INTEGRATION
AuthorizedOfficialTelephone: 3033592557
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: ONPOINT MEDICAL GROUP LLC
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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