PEDIATRIX MEDICAL GROUP OF COLORADO, P.C. (NPI# 1336754175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336754175 |
| Entity Type | Organization |
| Organization Name | PEDIATRIX MEDICAL GROUP OF COLORADO, P.C. |
| Practice Address |
4050 Briargate Pkwy Colorado Springs CO 80920-7815 |
| Mailing Address |
4722 N 24th St Ste 150 Phoenix AZ 85016-4860 |
| Practice Telephone | 7193645000 |
| Mailing Telephone | 8777374546 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | DR. RICHARD 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 | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000148087 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975284 | Pediatrix Medical Group of Colorado, P.C. | Pediatrics | 4090 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2020-09-01 |
| 1174137806 | Pediatrix Medical Group of Colorado, P.C. | Pediatrics | 400 W 16th St, Pueblo, CO 81003-2745 | 2020-09-01 |
| 1164656120 | Pediatrix Medical Group of Colorado, P.C. | Pediatrics | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2009-05-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PEDIATRIX MEDICAL GROUP OF COLORADO, P.C. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Street Address |
4050 BRIARGATE PKWY |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-7815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750307492 | Kurt William Warves | Occupational Therapist | 4050 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2006-07-14 |
| 1295335552 | Pikes Peak Nephrology Associates PC | Internal Medicine | 4050 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2020-10-27 |
| 1225658784 | Reach Air Medical Services LLC | Ambulance | 4050 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2020-04-24 |
| 1750940987 | Uch-mhs | General Acute Care Hospital | 4050 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2019-06-11 |
| 1609113794 | Irena E Schoepke | Pharmacist | 4050 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2013-01-09 |
| 1548518137 | Michael Andrew Malinaro | Pharmacist | 4050 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2012-08-29 |
| 1831464189 | Renna Short Becerra | Internal Medicine | 4050 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2012-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| 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 |
|---|---|---|---|---|
| 1679891832 | Tristan Poe Lindberg | Pediatrics | 6001 E Woodmen Road, Colorado Springs, CO 80923 | 2010-05-12 |
| 1962465807 | Glenn Mark Shoptaugh | Pediatrics | 82 Raven Hills Ct, Colorado Springs, CO 80919-1316 | 2006-04-11 |
| 1669479705 | Kathleen Sue Bohanon | Pediatrics | 4090 Stonebridge Pt, Colorado Springs, CO 80904-4704 | 2005-07-05 |
| 1558975284 | Pediatrix Medical Group of Colorado, P.C. | Pediatrics | 4090 Briargate Pkwy, Colorado Springs, CO 80920-7815 | 2020-09-01 |
| 1376699983 | Pastora Garcia-jones | Pediatrics | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2007-01-26 |
| 1841357969 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 6001 E Woodmen Rd, Colorado Springs, CO 80923-2601 | 2007-01-02 |
| 1548218373 | Mary Rachel Laird | Pediatrics | 1400 E Boulder St, #3593, Colorado Springs, CO 80909-5533 | 2006-05-04 |
| 1275595084 | Susan F. Townsend | Pediatrics | 1400 E Boulder St, Suite 3593, Colorado Springs, CO 80909-5533 | 2006-04-05 |
| 1629050380 | Robert C Kiley | Pediatrics | 1400 E Boulder St, Pediatrix Associates of Colorado Springs, Suite 3593, Colorado Springs, CO 80909-5533 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254215 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 340 Peak Oned Drive, Frisco, CO 80443 | 2020-10-30 |
| 1770668402 | Bonita Carson | Pediatrics | 4191 S Colorado Blvd, Englewood, CO 80113-5039 | 2006-10-25 |
| 1518041953 | Karen Marie Zarlengo | Pediatrics | 1601 E 19th Ave Ste 5300, Denver, CO 80218-1229 | 2006-10-24 |
| 1497709646 | Pamela Jean Gewinner | Pediatrics | 1165 Pennsylvania St, Denver, CO 80203-2501 | 2006-05-20 |
| 1386600260 | Michael S Paranka | Pediatrics | 1601 E. 19th Street, Suite 5300, Denver, CO 80218 | 2006-04-21 |
| 1942263173 | David Arnold Belenky | Pediatrics | 1713 E Lake Dr, Centennial, CO 80121-2607 | 2006-04-10 |
| 1649870957 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 14300 Orchard Pkwy, Westminster, CO 80023-9206 | 2020-10-27 |
| 1841890159 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 1950 Mountain View Ave, Longmont, CO 80501-3129 | 2020-10-27 |
| 1114527520 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 100 Health Park Dr, Louisville, CO 80027-9583 | 2020-10-27 |
| 1275133506 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
Please comment or provide details below to improve the information on PEDIATRIX 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.