OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. (NPI# 1437773694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437773694 |
| Entity Type | Organization |
| Organization Name | OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. |
| Practice Address |
750 Hospital Loop Craig CO 81625-8750 |
| Mailing Address |
4722 N 24th St Ste 150 Phoenix AZ 85016-4860 |
| Practice Telephone | 9708249400 |
| 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 | 9000153165 | 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 |
750 HOSPITAL LOOP |
| City | CRAIG |
| State | CO |
| Zip Code | 81625-8750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418424 | The Memorial Hospital | Skilled Nursing Facility | 750 Hospital Loop, Craig, CO 81625 | 2005-06-21 |
| 1437757788 | Cardinal Pathology, PC | Pathology | 750 Hospital Loop, Memorial Regional Health, Craig, CO 81625 | 2020-10-09 |
| 1447885256 | The Memorial Hospital Facilities Corporation | Ambulance | 750 Hospital Loop, Craig, CO 81625-8750 | 2020-03-12 |
| 1225668346 | Jenna Rose Kaspari | Physical Therapist | 750 Hospital Loop, Craig, CO 81625-8750 | 2020-01-16 |
| 1497396782 | Danika Celeste Friedley Jost | Physical Therapist | 750 Hospital Loop, Craig, CO 81625-8750 | 2019-10-08 |
| 1790259414 | Jennifer Irene Nortz | Physician Assistant | 750 Hospital Loop, Craig, CO 81625-8750 | 2019-01-15 |
| 1275019820 | Mountain Valley Anesthesia | Nurse Anesthetist, Certified Registered | 750 Hospital Loop, Craig, CO 81625-8750 | 2018-07-17 |
| 1386144723 | Madysen Lynne Jourgensen | Dietitian, Registered | 750 Hospital Loop, Craig, CO 81625-8750 | 2018-02-12 |
| 1851803746 | Kelsie Bond | Physician Assistant | 750 Hospital Loop, Craig, CO 81625-8750 | 2017-10-31 |
| 1336667682 | The Memorial Hospital Facilities Corporation | Ambulance | 750 Hospital Loop, Craig, CO 81625-8750 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619446481 | County of Moffat | Emergency Medical Technician, Paramedic | 221 W. Victory Way, Suite 130, Craig, CO 81625 | 2018-11-21 |
| 1912374703 | Shannon Mayes | Registered Nurse | 745 Russell Street, Craig, CO 81625 | 2015-08-27 |
| 1407267628 | A & S Counseling | Social Worker | 401 Russell Street, Craig, CO 81625 | 2014-05-09 |
| 1356687727 | Joanne Mattio Snow | Social Worker | 11 W. Victory Way, Suite 209, Craig, CO 81625 | 2012-12-12 |
| 1205163409 | Aerocare Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 512 Yampa Ave, Craig, CO 81625 | 2009-11-09 |
| 1124213665 | Steven Paul Walls | Counselor | 11 West Victory Way, Suite# 209, Craig, CO 81625 | 2007-09-07 |
| 1225170970 | Brittany Corrine Doolin | Registered Nurse | 745 Russel St, Craig, CO 81625 | 2007-02-12 |
| 1225170996 | Ann T Irvin | Registered Nurse | 745 Russell St, Nwcvna Craig Moffat County Rio Blanco Co, Craig, CO 81625 | 2007-02-12 |
| 1578644175 | Northwest Colorado Dental Coalition | Clinic/Center | 485 Yampa Avenue, Craig, CO 81625 | 2006-10-18 |
| 1962438218 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 505 W Victory Way, Craig, CO 81625 | 2006-06-25 |
| Find all providers in zip 81625 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1023632916 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1906 Blake Ave, Glenwood Springs, CO 81601-4227 | 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 |
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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.