OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. (NPI# 1528682903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528682903 |
| Entity Type | Organization |
| Organization Name | OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. |
| Practice Address |
8300 W 38th Ave Wheat Ridge CO 80033-6005 |
| Mailing Address |
4722 N 24th St Ste 150 Phoenix AZ 85016-4860 |
| Practice Telephone | 3034254500 |
| 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 | 36550256 | 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 |
8300 W 38TH AVE |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-6005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669461281 | Scl Health Front Range, Inc | Internal Medicine | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2005-10-17 |
| 1811503766 | Noah Edward Dommer | Nurse Practitioner | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-09-16 |
| 1629689476 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-08-14 |
| 1699385922 | Kelly Sotir | Nurse Practitioner | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-08-02 |
| 1770193112 | Mikkala Shae Vosmera | Nurse Practitioner | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-07-31 |
| 1609485523 | Kari Envik | Nurse Practitioner | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-07-27 |
| 1093335051 | Rebecca A Green | Nurse Practitioner | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-04-20 |
| 1922637321 | Jillian Rouse | Registered Nurse | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-04-07 |
| 1073159166 | Ellen Margaret Rohan | Nurse Practitioner | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2019-11-23 |
| 1073154159 | Rhonda Mcavin | Nurse Practitioner | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| 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 |
|---|---|---|---|---|
| 1689840233 | Jenna Griggs Greenfield | Pediatrics | 3805 Simms St, Wheat Ridge, CO 80033-3871 | 2008-05-05 |
| 1952471971 | Peak Pediatrics Pllc | Pediatrics | 3555 Lutheran Pkwy Ste 340, Wheat Ridge, CO 80033-6039 | 2006-11-08 |
| 1831194463 | Caroline Teresa Thramann | Pediatrics | 3555 Lutheran Pkwy, Ste 340, Wheat Ridge, CO 80033-6039 | 2005-06-20 |
| 1669715132 | Elizabeth H Coogan | Pediatrics | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2013-04-02 |
| 1932499761 | Yamini Bear Rao | Pediatrics | 3555 Lutheran Pkwy, #340, Wheat Ridge, CO 80033-6021 | 2011-04-13 |
| 1669761995 | Kaitlin Dorothy Vellore | Pediatrics | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2011-04-07 |
| 1073755039 | Larissa Ann Applegate | Pediatrics | 3555 Lutheran Pkwy, Suite 200, Wheat Ridge, CO 80033-6021 | 2009-04-06 |
| 1215127311 | Lance J Lazatin | Pediatrics | 6055 W 46th Ave, Suite A, Wheat Ridge, CO 80033-1811 | 2007-07-26 |
| 1154524825 | Barbara Elizabeth Barringer | Pediatrics | 3655 Lutheran Pkwy, Suite 300, Wheat Ridge, CO 80033 | 2007-06-08 |
| 1700092145 | Debby Jean Faes | Pediatrics | 3655 Lutheran Parkway, Suite 300, Wheat Ridge, CO 80033-6011 | 2007-05-15 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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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.