OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.


Address: 2400 Edison St, Brush, CO 80723-1640
Phone: 9708426200

OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. (NPI# 1386268563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386268563
Entity Type Organization
Organization Name OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.
Practice Address 2400 Edison St
Brush
CO 80723-1640
Mailing Address 4722 N 24th St Ste 150
Phoenix
AZ 85016-4860
Practice Telephone 9708426200
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 74780085 05

Other Provider/Organization Names

Other Name Type Code
Rocky Mountain Pediatric Cardiology Doing Business As Name - Organization

Other Provider IDs and Locations

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
1053935270 Obstetrix Medical Group of Colorado, P.C. Pediatrics 10099 Ridgegate Pkwy Ste 300, Lone Tree, CO 80124-5534 2020-06-03
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

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. 1301 Concord Terrace, Sunrise, FL 33323

Office Location

Street Address 2400 EDISON ST
City BRUSH
State CO
Zip Code 80723-1640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649262262 Heidi A Reed Nurse Anesthetist, Certified Registered 2400 Edison St, Brush, CO 80723-1640 2005-08-19
1902319882 Astro Anesthesia Associates Pllc Nurse Anesthetist, Certified Registered 2400 Edison St, Brush, CO 80723-1640 2017-11-14
1770094831 East Morgan County Hospital Clinic/Center 2400 Edison St, Brush, CO 80723-1640 2017-10-17
1053830752 East Morgan County Hospital Clinical Medical Laboratory 2400 Edison St, Brush, CO 80723-1640 2017-09-13
1548798176 Ryan Scott Reiss Nurse Practitioner 2400 Edison St, Brush, CO 80723-1640 2017-05-26
1346781846 Sandra Jane Boone Registered Nurse 2400 Edison St, Brush, CO 80723-1640 2017-03-16
1376094151 Zachary Stringham Physician Assistant 2400 Edison St, Brush, CO 80723-1640 2016-10-17
1497204465 Riverview Medical Group Pllc Family Medicine 2400 Edison St, Brush, CO 80723-1640 2016-09-30
1467827774 Rmc Medical LLC Family Medicine 2400 Edison St, Brush, CO 80723-1640 2015-12-11
1558746792 East Morgan Community Hospital Clinic/Center 2400 Edison St, Brush, CO 80723-1640 2015-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366543639 Therese A Gonzales Dental Hygienist 412 Edison, Brush, CO 80723 2006-09-26
1821056375 Suzanne R Becker Social Worker 518 Curtis St, Brush, CO 80723 2006-05-03
1740242494 Morgan County Dental Care PC Dentist 242 Cambridge St, Brush, CO 80723 2006-04-06
1598170532 Landon Heckman Dentist 242 Cambridge St, Brush, CO 80723 2014-06-28
1861946832 Colorado Dentistry for Children LLC Dentist 242 Cambridge St, Brush, CO 80723-1608 2016-08-08
1609219757 Carissa Molina Dentist 242 Cambridge St, Brush, CO 80723-1608 2013-04-09
1275734584 Monty Carl Kingsley Dentist 242 Cambridge St, Suite 2, Brush, CO 80723-1608 2007-05-31
1841310737 Ssc Brush Sunset Manor Operating Company LLC Respite Care 2200 Edison St, Brush, CO 80723-1609 2007-04-02
1548819147 Juhee Yi Speech-Language Pathologist 2200 Edison St, Brush, CO 80723-1609 2019-09-05
1194374009 Lodina Marlene Weingardt Physical Therapy Assistant 2200 Edison St, Brush, CO 80723-1609 2019-09-04
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Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053935270 Obstetrix Medical Group of Colorado, P.C. Pediatrics 10099 Ridgegate Pkwy Ste 300, Lone Tree, CO 80124-5534 2020-06-03
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
1043834096 Obstetrix Medical Group of Colorado, P.C. Pediatrics 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 2020-06-05
1295359180 Obstetrix Medical Group of Colorado, P.C. Pediatrics 1024 Central Park Dr, Steamboat Springs, CO 80487-8813 2020-06-05
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Competitor

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City BRUSH
Zip Code 80723

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Dataset Information

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.

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