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POTOMAC SQUARE FAMILY MEDICINE, LLC
NPI 1740235548
Clinic/Center - Primary Care in Aurora, CO

Active since May 23, 2006
13650 E MISSISSIPPI AVE STE 110, AURORA, CO 80012(303) 695-8684(303) 597-0191 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2022, Sep 15, 2020, Jul 28, 2020 and 3 more (6 updates tracked since 2015).

About Potomac Square Family Medicine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POTOMAC SQUARE FAMILY MEDICINE, LLC (NPI 1740235548) is a healthcare organization registered as a primary care in Aurora, Colorado and active in the NPI registry since May 2006. The organization lists Stephanie Gluchacki, Svp, Compliance, as its authorized official.

NPPES Registry Identity

NPI1740235548
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePOTOMAC SQUARE FAMILY MEDICINE, LLC
Location Address13650 E MISSISSIPPI AVE STE 110Aurora, CO 80012-3573
Mailing AddressPo Box 173848Denver, CO 80217-3848 · (303) 945-3299 · Fax (303) 341-4708
Phone(303) 695-8684
Fax(303) 597-0191
Organization SubpartNo
Authorized OfficialStephanie GluchackiSvp, Compliance · (508) 689-9706
Enumeration DateMay 23, 2006
Last NPPES UpdateApril 15, 20226 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
✔ NPI 1740235548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedPhysical TherapistTaxonomy 225100000X
13650 E MISSISSIPPI AVE STE 110, Aurora, CO 80012
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Other Identifiers 1

Medicaid77404343CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALICJA RYBIARCZYK DPT
Physical Therapist
13650 E MISSISSIPPI AVE STE 110
AURORA, CO 80012
Arapahoe County (303) 695-8684

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Potomac Square Family Medicine, LLC's NPI number?

The NPI number for Potomac Square Family Medicine, LLC is 1740235548. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Potomac Square Family Medicine, LLC located?

Potomac Square Family Medicine, LLC is located at 13650 E Mississippi Ave Ste 110, Aurora, CO 80012. The listed phone number is (303) 695-8684.

What is Potomac Square Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Potomac Square Family Medicine, LLC was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.