OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. (NPI# 1285258657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285258657 |
| Entity Type | Organization |
| Organization Name | OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. |
| Practice Address |
1950 Mountain View Ave Longmont CO 80501-3129 |
| Mailing Address |
4722 N 24th St Ste 150 Phoenix AZ 85016-4860 |
| Practice Telephone | 3036515111 |
| Mailing Telephone | 8777374546 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| 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 | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 08105049 | 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 |
1950 MOUNTAIN VIEW AVE |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689657157 | Albert Hugh Colton | Emergency Medicine | 1950 Mountain View Ave, Longmont, CO 80501-3129 | 2005-11-29 |
| 1841890159 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 1950 Mountain View Ave, Longmont, CO 80501-3129 | 2020-10-27 |
| 1871119735 | Catholic Health Initiatives Colorado | Hospitalist | 1950 Mountain View Ave, Longmont, CO 80501-3129 | 2020-06-17 |
| 1639790587 | Shawnna Durand Snodgrass | Nurse Practitioner | 1950 Mountain View Ave, Longmont, CO 80501-9865 | 2020-05-01 |
| 1558997395 | Usacs of Colorado Inc | Emergency Medicine | 1950 Mountain View Ave, Longmont, CO 80501-3129 | 2020-03-12 |
| 1043843659 | Catholic Health Iniatives Colorado | Pharmacy | 1950 Mountain View Ave, Longmont, CO 80501-3129 | 2020-02-21 |
| 1720541170 | Charles Porter Sloan IIi | Clinical Nurse Specialist | 1950 Mountain View Ave, Longmont, CO 80501-9865 | 2019-04-11 |
| 1558877787 | Longmont United Hospital | General Acute Care Hospital | 1950 Mountain View Ave, Longmont, CO 80501-3129 | 2017-12-26 |
| 1740600121 | Leticia Marie Cisneros | Pharmacist | 1950 Mountain View Ave, Longmont, CO 80501-3129 | 2014-04-23 |
| 1053742213 | David A. Merin | Physician Assistant | 1950 Mountain View Ave, Longmont, CO 80501-3129 | 2013-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1083227243 | Poudre Valley Medical Group, LLC | Pediatrics | 1750 E Ken Pratt Blvd Fl 3, Longmont, CO 80504-5311 | 2020-08-27 |
| 1073126652 | Poudre Valley Medical Group, LLC | Pediatrics | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-08-25 |
| 1780047902 | Catholic Health Initiatives Colorado | Pediatrics | 2101 Ken Pratt Blvd Ste 200, Longmont, CO 80501-6568 | 2016-04-04 |
| 1497174940 | Jesse Aaron Mortimore | Pediatrics | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2014-04-14 |
| 1144663998 | Kimberly Slonaker | Pediatrics | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2013-04-11 |
| 1063600096 | Katherine Dueber | Pediatrics | 1925 W Mountain View Ave, Longmont, CO 80501-3128 | 2007-10-03 |
| 1720118664 | Kraig A Schmidt | Pediatrics | 2345 Bent Way, Longmont, CO 80503-7614 | 2007-03-07 |
| 1023152824 | Michael R Martinez | Pediatrics | 2345 Bent Way, Longmont, CO 80503-7614 | 2007-02-16 |
| 1417018649 | Colette Elise Fisher | Pediatrics | 2345 Bent Way, Longmont, CO 80503-7614 | 2006-12-12 |
| 1699772392 | Lisa A Turner | Pediatrics | 1925 W Mountain View Ave, Longmont, CO 80501-3128 | 2005-07-07 |
| Find all providers in LONGMONT | ||||
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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.