Provider Demographics
NPI:1861544462
Name:HILLTOP FAMILY PHYSICIANS
Entity type:Organization
Organization Name:HILLTOP FAMILY PHYSICIANS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:SOUDERS
Authorized Official - Suffix:
Authorized Official - Credentials:CMPE
Authorized Official - Phone:303-841-2212
Mailing Address - Street 1:19964 E HILLTOP RD
Mailing Address - Street 2:STE A
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7313
Mailing Address - Country:US
Mailing Address - Phone:303-841-2212
Mailing Address - Fax:303-841-4716
Practice Address - Street 1:19964 E HILLTOP RD
Practice Address - Street 2:STE A
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7313
Practice Address - Country:US
Practice Address - Phone:303-841-2212
Practice Address - Fax:303-841-4716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO472688Medicare PIN