OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. (NPI# 1053935270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053935270 |
| Entity Type | Organization |
| Organization Name | OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. |
| Practice Address |
10099 Ridgegate Pkwy Ste 300 Lone Tree CO 80124-5534 |
| Mailing Address |
4722 N 24th St Ste 150 Phoenix AZ 85016-4860 |
| Practice Telephone | 3038329465 |
| Mailing Telephone | 8777374546 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | RICHARD P PORRECO (PRESIDENT) |
| Authorized Official Telephone | 9543840175 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 05675031 | 05 |
| Other Name | Type Code |
|---|---|
| Rocky Mountain Pediatric Cardiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460464 | Obstetrix Medical Group of Colorado, P.C. | Obstetrics & Gynecology | 1421 S Potomac St Ste 240, Aurora, CO 80012-4512 | 2020-06-04 |
| 1396369443 | Obstetrix Medical Group of Colorado, P.C. | Obstetrics & Gynecology | 80 Health Park Dr Ste 235, Louisville, CO 80027-9584 | 2020-06-04 |
| 1477177533 | Obstetrix Medical Group of Colorado, P.C. | Nurse Practitioner | 90 Health Park Dr Ste 390, Louisville, CO 80027-9742 | 2020-06-04 |
| 1851915227 | Obstetrix Medical Group of Colorado, P.C. | Obstetrics & Gynecology | 1830 Blake Ave Ste 208, Glenwood Springs, CO 81601-4261 | 2020-06-02 |
| 1750905121 | Obstetrix Medical Group of Colorado, P.C. | Obstetrics & Gynecology | 4500 E 9th Ave Ste 210, Denver, CO 80220-3921 | 2020-06-02 |
| 1275157661 | Obstetrix Medical Group of Colorado, P.C. | Obstetrics & Gynecology | 499 E Hampden Ave Ste 210, Englewood, CO 80113-2792 | 2020-06-02 |
| 1386268753 | Obstetrix Medical Group of Colorado, P.C. | Obstetrics & Gynecology | 1808 Boise Ave Ste 120pod1, Loveland, CO 80538-5012 | 2020-06-02 |
| 1891319786 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 80 Health Park Dr Ste 235, Louisville, CO 80027-9584 | 2020-06-05 |
| 1659995603 | Obstetrix Medical Group of Colorado, P.C. | Obstetrics & Gynecology | 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | 2020-06-05 |
| 1023632916 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1906 Blake Ave, Glenwood Springs, CO 81601-4227 | 2020-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Street Address |
10099 RIDGEGATE PKWY STE 300 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-5534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834096 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | 2020-06-05 |
| 1366464562 | Douglas Driggs Christensen | Pediatrics | 10103 Ridgegate Pkwy, Suite 107, Lone Tree, CO 80124-5520 | 2006-07-24 |
| 1346269438 | Pediatrix Medical Group of Colorado | Pediatrics | 10103 Ridgegate Pkwy, Suite 107, Lone Tree, CO 80124-5520 | 2006-07-19 |
| 1447205224 | Reginald Louis Washington | Pediatrics | 10099 Ridgegate Pkwy, Suite 300, Lone Tree, CO 80124-5531 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215125208 | Abhay Ashok Divekar | Pediatrics | 2001 N High St, Denver, CO 80205-5555 | 2007-10-04 |
| 1982794798 | Pediatric Cardiology Associates | Pediatrics | 1725 E Boulder Street, Suite 202, Colorado Springs, CO 80909 | 2006-10-13 |
| 1700824430 | Michael Darby Pettersen | Pediatrics | 2055 N High St, Suite 255, Denver, CO 80205-5503 | 2006-06-03 |
| 1881292274 | Yampa Valley Medical Center | Pediatrics | 940 Central Park Dr Ste 190, Steamboat Springs, CO 80487-8853 | 2020-10-16 |
| 1891319786 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 80 Health Park Dr Ste 235, Louisville, CO 80027-9584 | 2020-06-05 |
| 1023632916 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1906 Blake Ave, Glenwood Springs, CO 81601-4227 | 2020-06-05 |
| 1083238034 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 377 Sylvan Lake Rd, Eagle, CO 81631-5242 | 2020-06-05 |
| 1295359180 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1024 Central Park Dr, Steamboat Springs, CO 80487-8813 | 2020-06-05 |
| 1023632049 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-06-05 |
| 1316561335 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 2000 Boise Ave, Loveland, CO 80538-5006 | 2020-06-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OBSTETRIX MEDICAL GROUP OF COLORADO, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.