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).
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 |
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 | 74780085 | 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 |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. | 1301 Concord Terrace, Sunrise, FL 33323 |
Street Address |
2400 EDISON ST |
City | BRUSH |
State | CO |
Zip Code | 80723-1640 |
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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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 |
Find all providers in zip 80723 |
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 |
---|---|---|---|---|
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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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.