PEDIATRIX MEDICAL GROUP OF COLORADO (NPI# 1295359792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295359792 |
| Entity Type | Organization |
| Organization Name | PEDIATRIX MEDICAL GROUP OF COLORADO |
| Practice Address |
1455 S Potomac St Ste 207 Aurora CO 80012-4502 |
| Mailing Address |
4722 N 24th St Ste 150 Phoenix AZ 85016-4860 |
| Practice Telephone | 3038609990 |
| Mailing Telephone | 8777374546 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |
| Authorized Official Name | DR. RICHARD P PORRECO (PRISEDENT) |
| Authorized Official Telephone | 9543840175 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 28710517 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346269438 | Pediatrix Medical Group of Colorado | Pediatrics | 10103 Ridgegate Pkwy, Suite 107, Lone Tree, CO 80124-5520 | 2006-07-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PEDIATRIX MEDICAL GROUP OF COLORADO, P.C. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Street Address |
1455 S POTOMAC ST STE 207 |
| City | AURORA |
| State | CO |
| Zip Code | 80012-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650765 | Veronica Kabuika | Specialist/Technologist, Other | 6792 E Tennessee Ave, Suite 645, Denver, CO 80012 | 2020-05-07 |
| 1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
| 1306362108 | Melynda Barrios | Massage Therapist | 11912 E Nevada Cir, Aurora, CO 80012 | 2017-08-14 |
| 1851815633 | Gabriela Alejandra Perez-saenz | Audiologist | 1550 S. Potomac St. #305, Aurora, CO 80012 | 2017-08-02 |
| 1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
| 1275069734 | Sandra Pacheco | Case Manager/Care Coordinator | 10782 E Alameda Avenue, Aurora, CO 80012 | 2017-05-03 |
| 1578002010 | Green Taxi Corporation | Taxi | 10 S Havana St #103, Aurora, CO 80012 | 2017-02-16 |
| 1104372713 | Moss LLC | Non-emergency Medical Transport (VAN) | 950 S Cimmaron Way Unit K-201, Aurora, CO 80012 | 2016-09-01 |
| 1023461647 | Thompson Sowash | Optometrist | 13955 E Mississippi, Aurora, CO 80012 | 2016-07-19 |
| 1598117731 | Act of Kindness LLC | Respite Care | 1010 S Joliet Street Suite #101, Aurora, CO 80012 | 2016-07-12 |
| Find all providers in zip 80012 | ||||
| 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 |
|---|---|---|---|---|
| 1750934519 | Katherine Jameson | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2019-07-22 |
| 1144880725 | Kari Waterman | Pediatrics | 12401 E 17th Ave, Aurora, CO 80045-2548 | 2019-06-17 |
| 1962866376 | Brianna M Liberio | Pediatrics | 13121 E 17th Ave, Aurora, CO 80045-2535 | 2016-04-12 |
| 1063806537 | Stephanie Baker | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-03-23 |
| 1629462460 | Lindsay Griebling | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-03-18 |
| 1265879134 | Aditi Gupta | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2013-05-31 |
| 1699018028 | Chirag Talati | Pediatrics | 2000 Ogden Ave, Aurora, IL 60504 | 2013-04-04 |
| 1184980526 | Laura Katherine Marrs | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2012-04-10 |
| 1417249806 | Laura Sherlock | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045 | 2011-05-04 |
| 1043500887 | Amy Hoyme | Pediatrics | 2000 Ogden Ave, Aurora, IL 60504-7222 | 2011-04-13 |
| Find all providers in AURORA | ||||
Please comment or provide details below to improve the information on PEDIATRIX MEDICAL GROUP OF COLORADO.
| 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.