OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. (NPI# 1871117051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871117051 |
| Entity Type | Organization |
| Organization Name | OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. |
| Practice Address |
1375 E 19th Ave Denver CO 80218-1114 |
| Mailing Address |
4722 N 24th St Ste 150 Phoenix AZ 85016-4860 |
| Practice Telephone | 3038122000 |
| 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 | 78780063 | 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 |
1375 E 19TH AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80218-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417946021 | Saint Joseph Hospital, Inc | General Acute Care Hospital | 1375 E 19th Ave, Denver, CO 80218-1114 | 2005-10-17 |
| 1588278519 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 1375 E 19th Ave, Denver, CO 80218-1114 | 2020-09-08 |
| 1275147407 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 1375 E 19th Ave, Denver, CO 80218-1114 | 2020-09-04 |
| 1306458310 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 1375 E 19th Ave, Denver, CO 80218-1114 | 2020-08-20 |
| 1497373856 | Elizabeth Ann Simmons | Nurse Practitioner | 1375 E 19th Ave, Denver, CO 80218-1114 | 2020-07-11 |
| 1285251801 | Diana Monica Babumba-migadde | Registered Nurse | 1375 E 19th Ave, Denver, CO 80218-1114 | 2020-06-30 |
| 1033735113 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 1375 E 19th Ave, Denver, CO 80218-1114 | 2020-06-24 |
| 1215558176 | Daniel Rutkowski | Physical Therapist | 1375 E 19th Ave, Denver, CO 80218-1114 | 2020-05-01 |
| 1457980773 | Rebekah Lee Mclaughlin | Registered Nurse | 1375 E 19th Ave, Denver, CO 80218-1114 | 2020-04-07 |
| 1801422274 | Christina Hicks | Registered Nurse | 1375 E 19th Ave, Denver, CO 80218-1114 | 2020-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394462 | Robert Collins Taylor | Student in an Organized Health Care Education/Training Program | Family Medicine - Rainer General Surgery, 1960 Ogden Street, Suite 400, Denver, CO 80218 | 2020-04-03 |
| 1679136568 | Ayal Levi | Student in an Organized Health Care Education/Training Program | 1375 E. 19th Avenue Saint Joseph Hospital, Russell Pavillion, 2nd Floor Gme, Denver, CO 80218 | 2019-04-17 |
| 1588124408 | Leah Kellogg | Student in an Organized Health Care Education/Training Program | Bruner Family Medicine - 1960 Ogden St, Suite 460, Denver, CO 80218 | 2019-03-25 |
| 1316407828 | Brant Barry Hafen | Student in an Organized Health Care Education/Training Program | Family Medicine - Caritas Clinic, 1960 Ogden St., Suite 400, Denver, CO 80218 | 2019-03-21 |
| 1679058671 | Katarina Baldovin | Behavioral Analyst | 1430 Humboldt St, Apt 502, Denver, CO 80218 | 2018-09-26 |
| 1235677345 | Angelica Hollins Cunningham | Physical Therapist | 1830 N Franklin St Ste 400, Denver, CO 80218 | 2017-02-09 |
| 1104373786 | Anoush Simonyan | Counselor | 1724 Gilpin Street, Denver, CO 80218 | 2016-09-01 |
| 1881140143 | James Cole Abrams, LLC | Community/Behavioral Health | 1252 Corona St, Apt 4, Denver, CO 80218 | 2016-08-28 |
| 1316398167 | Joanna Ford Counseling | Community/Behavioral Health | 825 East Speer Blvd., 100b, Denver, CO 80218 | 2016-06-23 |
| 1487002671 | Anne Elizabeth Gulick | Physician Assistant | 1601 E 19th Ave, Suite 6600, Denver, CO 80218 | 2016-05-27 |
| Find all providers in zip 80218 | ||||
| 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 |
| 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 |
| 1497779276 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 2055 High Street, Ste 255, Denver, CO 80205-5663 | 2006-07-26 |
| 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.