OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. (NPI# 1679197172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679197172 |
| Entity Type | Organization |
| Organization Name | OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. |
| Practice Address |
100 Health Park Dr Louisville CO 80027-9583 |
| Mailing Address |
4722 N 24th St Ste 150 Phoenix AZ 85016-4860 |
| Practice Telephone | 3036731000 |
| Mailing Telephone | 8777374546 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |
| 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 |
|---|---|---|---|---|---|
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SW0102X |
Clinical Nurse Specialist Specialization: Women's Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 32105088 | 05 |
| 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 |
100 HEALTH PARK DR |
| City | LOUISVILLE |
| State | CO |
| Zip Code | 80027-9583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107315 | Ronald Ross Robinson | Anesthesiology | 100 Health Park Dr, Louisville, CO 80027-9583 | 2005-07-11 |
| 1114527520 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 100 Health Park Dr, Louisville, CO 80027-9583 | 2020-10-27 |
| 1053922831 | Jenna Gilbert | Registered Nurse | 100 Health Park Dr, Louisville, CO 80027-9583 | 2020-08-13 |
| 1578187803 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 100 Health Park Dr, Louisville, CO 80027-9583 | 2020-06-02 |
| 1851927693 | Usacs of Colorado Inc | Emergency Medicine | 100 Health Park Dr, Louisville, CO 80027-9583 | 2020-03-12 |
| 1417509779 | Madeline Brown Miller | Genetic Counselor, MS | 100 Health Park Dr, Louisville, CO 80027-9583 | 2019-07-16 |
| 1558924910 | Cassandra Leigh Maxwell | Dietitian, Registered | 100 Health Park Dr, Louisville, CO 80027-9583 | 2019-04-20 |
| 1780167619 | Ana Elizabeth Grantham | Registered Nurse | 100 Health Park Dr, Louisville, CO 80027-9583 | 2018-09-06 |
| 1073002879 | Shannon Driscol | Dietitian, Registered | 100 Health Park Dr, Louisville, CO 80027-9583 | 2018-05-07 |
| 1760985154 | Tiffany Lyn Cook | Dietitian, Registered | 100 Health Park Dr, Louisville, CO 80027-9583 | 2018-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849951 | Fullswift Physiotherapy, Pllc | Physical Therapist | 538 W. Laurel Ct., Louisville, CO 80027 | 2020-04-11 |
| 1265097547 | Amanda Nicole Calzolano | Occupational Therapist | 165 S Mccaslin Blvd, Suite B, Louisville, CO 80027 | 2019-05-02 |
| 1891258273 | Lisa Apel | Counselor | 287 Century Circle, Louisville, CO 80027 | 2019-04-11 |
| 1336622570 | Boulder Neurology and Concussion | Psychiatry & Neurology | 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 | 2018-09-13 |
| 1568942886 | Alessandra Zapiecki | Occupational Therapist | 1107 W Century Dr, Louisville, CO 80027 | 2018-08-16 |
| 1225539935 | Healing Solutions Inc. | Massage Therapist | 362 S. Mccaslin Blvd., Louisville, CO 80027 | 2018-02-27 |
| 1033618632 | Matthew Mandel | Massage Therapist | 1945 Piper St, Superior, CO 80027 | 2018-02-08 |
| 1740794031 | Elise Nicole Brucks | Speech-Language Pathologist | 1007 Century Drive, Louisville, CO 80027 | 2017-11-22 |
| 1043762859 | Options Treatment, LLC | Counselor | 1068 S. 88th Street, Unit A, Louisville, CO 80027 | 2016-10-27 |
| 1225584071 | Trent Sayers Dental PC | Dentist | 1691 Coalton Rd., Superior, CO 80027 | 2016-08-31 |
| Find all providers in zip 80027 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265996961 | Rebecca Decker | Pediatrics | 571 S Floyd St Ste 342, Louisville, KY 40202-3816 | 2019-01-27 |
| 1265676142 | Hannah Fischer | Pediatrics | 571 South Floyd Strret, Ste 342, Louisville, KY 40202 | 2009-04-23 |
| 1730219395 | Saify Abbasi | Pediatrics | 3170 Running Deer Cir, Louisville, KY 40241-6566 | 2007-03-06 |
| 1972693851 | Neonatal Associates | Pediatrics | 601 S Floyd, Ste 804, Louisville, KY 40202 | 2006-10-13 |
| 1144298316 | Ketan C Mehta | Pediatrics | 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 | 2006-03-14 |
| 1427040443 | Scott D Duncan | Pediatrics | 411 E Chestnut St # 2, Louisville, KY 40202-1713 | 2005-08-16 |
| 1801896592 | Karen W Bibb | Pediatrics | 571 S Floyd St, Suite 342, Louisville, KY 40202-3818 | 2005-07-26 |
| 1114527520 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 100 Health Park Dr, Louisville, CO 80027-9583 | 2020-10-27 |
| 1659637338 | University of Louisville Physicians, Inc. | Pediatrics | 601 S Floyd St, Suite 804, Louisville, KY 40202-1835 | 2012-04-06 |
| 1215293949 | University of Louisivlle Research Foundation | Pediatrics | 601 S Floyd St, Suite 801, Louisville, KY 40202-1835 | 2012-04-06 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 80027 |
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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.