OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. (NPI# 1497779276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497779276 |
| Entity Type | Organization |
| Organization Name | OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. |
| Other Organization Name | ROCKY MOUNTAIN PEDIATRIC CARDIOLOGY |
| Practice Address |
2055 High Street Ste 255 Denver CO 80205-5663 |
| Mailing Address |
1301 Concord Ter Sunrise FL 33323-2843 |
| Practice Telephone | 3038609933 |
| Mailing Telephone | 9543840175 |
| Mailing Fax Number | 9548511948 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | DR. 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 | 04021655 | 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 |
2055 HIGH STREET STE 255 |
| City | DENVER |
| State | CO |
| Zip Code | 80205-5663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598756454 | Saundra Kay | Pediatrics | 2055 High Street, #370, Denver, CO 80205-5504 | 2005-10-31 |
| 1295175164 | Nicole Elizabeth Cyr | Audiologist | 2055 High Street, #110, Denver, CO 80205-5504 | 2013-06-25 |
| 1982927976 | Deborah D Gilbert | Nurse Practitioner | 2055 High Street, Ste 110, Denver, CO 80205-5504 | 2010-03-05 |
| 1225261696 | Gillian L Cremona | Nurse Practitioner | 2055 High Street, Ste 370, Denver, CO 80205-5504 | 2009-09-01 |
| 1902042393 | Stacey Dyan Brophy | Advanced Practice Midwife | 2055 High Street, #140, Denver, CO 80205-5504 | 2009-01-06 |
| 1770740797 | Jessica F Curley | Pediatrics | 2055 High Street, Ste 330, Denver, CO 80205-5504 | 2008-05-19 |
| 1750553632 | Molly Jo Weaver | Nurse Practitioner | 2055 High Street, #110, Denver, CO 80205 | 2008-03-31 |
| 1679765309 | Mindy Ann Banks | Internal Medicine | 2055 High Street, #330, Denver, CO 80205-5504 | 2007-08-16 |
| 1952591901 | Kristin Elaine Shipman | Surgery | 2055 High Street, #370, Denver, CO 80205-5504 | 2007-07-26 |
| 1780882829 | Benjamin A Ross | Psychiatry & Neurology | 2055 High Street, #210, Denver, CO 80205-5504 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769233 | Abigail Eileen Taylor | Occupational Therapy Assistant | 3241 N York St, Denver, CO 80205 | 2020-01-19 |
| 1609415694 | Blushing Bodies | Clinic/Center | 2040 East 28th Ave, Denver, CO 80205 | 2019-12-23 |
| 1053966564 | Paul Deutsch | Social Worker | 3836 York St, Denver, CO 80205 | 2019-08-02 |
| 1770062085 | New Health Pain Treatment Centers, LLC | General Practice | 3605 S Teller, Englewood, CO 80205 | 2018-08-08 |
| 1710474374 | Paloma Dental | Dentist | 1225 35th Street, Denver, CO 80205 | 2018-04-19 |
| 1720516677 | Volunteers of America, Colorado Branch | Voluntary or Charitable | 2660 Larimer St., Denver, CO 80205 | 2017-05-23 |
| 1760917637 | Rino Dental | Dentist | 3258 Larimer St, Suite 300, Denver, CO 80205 | 2017-04-27 |
| 1891233193 | Barbara Jordan | Physical Therapist | 13123 East 16th Avenue, Box 295, Denver, CO 80205 | 2017-02-07 |
| 1255877635 | Kaiser Permanente | Clinic/Center | 1451 24th Street, Apt 146, Denver, CO 80205 | 2017-01-10 |
| 1255887501 | Stephanie W Kwong | Speech-Language Pathologist | 158 S Pacific Avenue, Denver, CO 80205 | 2016-08-28 |
| Find all providers in zip 80205 | ||||
| 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 |
|---|---|---|---|---|
| 1215125208 | Abhay Ashok Divekar | Pediatrics | 2001 N High St, Denver, CO 80205-5555 | 2007-10-04 |
| 1700824430 | Michael Darby Pettersen | Pediatrics | 2055 N High St, Suite 255, Denver, CO 80205-5503 | 2006-06-03 |
| 1023632049 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-06-05 |
| 1871117051 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1375 E 19th Ave, Denver, CO 80218-1114 | 2020-06-03 |
| 1588288799 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 4567 E 9th Ave, Denver, CO 80220-3908 | 2020-06-03 |
| 1063036259 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 2525 S Downing St, Denver, CO 80210-5817 | 2020-06-03 |
| 1184988560 | Marco A Pinder | Pediatrics | 13123 East 16th Ave, Denver, CO 80238 | 2012-06-29 |
| 1164608535 | Samuel Timothy Brescia | Pediatrics | 2055 N High St, Suite 255, Denver, CO 80205-5663 | 2008-01-16 |
| 1881740496 | Jane Nydam | Pediatrics | 2055 N High St, Suite 255, Denver, CO 80205-5503 | 2007-01-26 |
| 1669557393 | Henry M. Sondheimer | Pediatrics | 1056 E 19th Ave, Denver, CO 80218-1007 | 2006-10-25 |
| Find all providers in DENVER | ||||
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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.