OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. (NPI# 1023632916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023632916 |
| Entity Type | Organization |
| Organization Name | OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. |
| Practice Address |
1906 Blake Ave Glenwood Springs CO 81601-4227 |
| Mailing Address |
4722 N 24th St Ste 150 Phoenix AZ 85016-4860 |
| Practice Telephone | 9709456535 |
| Mailing Telephone | 8777374546 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| 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 | 9000179337 | 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 |
1906 BLAKE AVE |
| City | GLENWOOD SPRINGS |
| State | CO |
| Zip Code | 81601-4227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767733 | Douglas K Rovira | Internal Medicine | 1906 Blake Ave, Glenwood Springs, CO 81601-4227 | 2005-06-01 |
| 1376144154 | Michelle Krelovich | Nurse Practitioner | 1906 Blake Ave, Glenwood Springs, CO 81601-4259 | 2020-11-06 |
| 1710594304 | Kristin Johnston | Nurse Practitioner | 1906 Blake Ave, Glenwood Springs, CO 81601-4227 | 2020-09-28 |
| 1164038840 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 1906 Blake Ave, Glenwood Springs, CO 81601-4227 | 2020-09-18 |
| 1790397008 | Valley View Hospital Association | Clinic/Center | 1906 Blake Ave, Glenwood Springs, CO 81601-4259 | 2020-08-18 |
| 1336758309 | Hannah Krewson | Preventive Medicine | 1906 Blake Ave, Glenwood Springs, CO 81601-4227 | 2020-07-27 |
| 1669018289 | Valley View Hospital Association | Internal Medicine | 1906 Blake Ave, Glenwood Springs, CO 81601-4227 | 2019-11-19 |
| 1205471000 | Valley View Hospital Association | Obstetrics & Gynecology | 1906 Blake Ave, Glenwood Springs, CO 81601-4227 | 2019-11-15 |
| 1407408388 | Katherine Marie Glass | Nurse Practitioner | 1906 Blake Ave, Glenwood Springs, CO 81601-4227 | 2019-07-11 |
| 1457812190 | Kathy Whitman | Social Worker | 1906 Blake Ave, Glenwood Springs, CO 81601-4227 | 2019-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326600339 | Robert Adams Orthopaedics, PC | Orthopaedic Surgery | 25 Market Street, Unit A, Glenwood Springs, CO 81601 | 2019-07-01 |
| 1558850339 | Danco Supportive Services Colorado Inc | Clinic/Center | 3302 South Grand Avenue, Glenwood Springs, CO 81601 | 2018-05-07 |
| 1457871451 | James David Whitehead | Registered Nurse | 1445 Hall Ave, Grand Junction, CO 81601 | 2017-06-21 |
| 1649700113 | Rachel Elizabeth Cassabon | Counselor | 6916 Hwy 82, Glenwood Springs, CO 81601 | 2017-06-15 |
| 1992252407 | Addictive Behaviors Counseling | Community/Behavioral Health | 0425 Mountain Shadows Drive, Glenwood Springs, CO 81601 | 2016-09-01 |
| 1134528243 | Kirsten Trygg | Counselor | 1432 Grand Avenue, Glenwood Springs, CO 81601 | 2014-08-14 |
| 1942635875 | Leanne Bornschlegel | Massage Therapist | 115 6th St., Glenwood Springs, CO 81601 | 2013-09-11 |
| 1538449871 | Patricia Ann Mckinney | Specialist | 1045 Parkwest Dr, Glenwood Springs, CO 81601 | 2011-08-18 |
| 1679863997 | Principled Chiropractic LLC | Chiropractor | 923 Cooper Ave. Ste 202, Glenwood Springs, CO 81601 | 2011-04-08 |
| 1598054322 | Glenwood Springs Harmony House Inc. | Assisted Living Facility | 1046 Parkwest Dr., Glenwood Springs, CO 81601 | 2011-04-01 |
| Find all providers in zip 81601 | ||||
| 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 |
|---|---|---|---|---|
| 1801410089 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1905 Blake Ave Ste 201, Glenwood Springs, CO 81601-4286 | 2020-06-03 |
| 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 |
| 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 |
| 1023632049 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-06-05 |
| Find all providers with the same taxonomy | ||||
| City | GLENWOOD SPRINGS |
| Zip Code | 81601 |
Please comment or provide details below to improve the information on OBSTETRIX MEDICAL GROUP OF COLORADO, P.C..
| 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.