PEDIATRICS 5280 PC (NPI# 1629030689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629030689 |
| Entity Type | Organization |
| Organization Name | PEDIATRICS 5280 PC |
| Other Organization Name | PEDIATRICS DTC PC |
| Practice Address |
9094 E Mineral Ave Suite 120 Centennial CO 80112-7200 |
| Practice Telephone | 3037795437 |
| Practice Fax Number | 3036899628 |
| Mailing Telephone | 3037795437 |
| Mailing Fax Number | 3036899628 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2008-07-08 |
| Authorized Official Name | ROBERT HOLBROOK STAPP (PRESIDENT PHYSICIAN) |
| Authorized Official Telephone | 3037795437 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 4013280 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatrics DTC PC | Former Legal Business Name - Organization |
| Street Address |
9094 E MINERAL AVE SUITE 120 |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80112-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374332 | Children's Eye Physicians P.C. | Optometrist | 9094 E Mineral Ave, Ste 200, Centennial, CO 80112 | 2020-07-28 |
| 1982727657 | Edward Marc Weideman | Dentist | 9094 E Mineral Ave, Suite 260, Centennial, CO 80112 | 2007-04-09 |
| 1437221942 | Daniel J Feiten | Pediatrics | 9094 E Mineral Ave, Centennial, CO 80112 | 2006-11-14 |
| 1033281548 | Constance H Giarratana | Pediatrics | 9094 E Mineral Ave, Centennial, CO 80112 | 2006-11-14 |
| 1982776480 | Andrew T Bauer | Pediatrics | 9094 E Mineral Ave, Centennial, CO 80112 | 2006-11-14 |
| 1285706788 | Suzanne S Cooper | Pediatrics | 9094 E Mineral Ave, Centennial, CO 80112 | 2006-11-14 |
| 1801967435 | Michelle A Chapin | Pediatrics | 9094 E Mineral Ave, Centennial, CO 80112 | 2006-11-13 |
| 1538268917 | James Robert Lessig | Dentist | 9094 E Mineral Ave, Suite 260, Centennial, CO 80112 | 2006-09-21 |
| 1356303309 | Michele Wallendal | Pediatrics | 9094 E Mineral Ave, Suite 120, Centennial, CO 80112-7200 | 2006-04-05 |
| 1134181183 | John Craig Bosley | Pediatrics | 9094 E Mineral Ave, Suite 120, Centennial, CO 80112-7200 | 2006-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
| Find all providers in zip 80112 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265890917 | Our Lady of Hope Medical Clinic Inc. | Clinic/Center | 7920 S University Blvd Ste 100, Centennial, CO 80122-5103 | 2016-02-09 |
| 1891121273 | Martin Obrien | Clinic/Center | 7827 S Forest St, Centennial, CO 80122-3821 | 2013-09-17 |
| 1083213094 | Arapahoe Mental Health Center, Inc | Clinic/Center | 13111 E Briarwood Ave Ste 260, Centennial, CO 80112-3926 | 2020-10-21 |
| 1992223184 | Scala Medical PC | Clinic/Center | 13111 E Briarwood Ave Ste 210, Centennial, CO 80112-3846 | 2017-09-07 |
| 1235387317 | Wilson Family Care, P.l.l.c. | Clinic/Center | 7384 S Alton Way, Suite 204, Centennial, CO 80112-2369 | 2008-09-03 |
| 1619013448 | Greenwood Pediatrics, Oc | Clinic/Center | 9094 E Mineral Cir, Suite 100, Centennial, CO 80112-7200 | 2007-01-29 |
| 1972600914 | Claire Schimke Md, PC | Clinic/Center | 14000 E Arapahoe Rd, Suite #290, Centennial, CO 80112-4043 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160396 | Little Poudre Family Clinic LLC | Clinic/Center | 3817 W County Rd 54g, Laporte, CO 80535 | 2020-10-05 |
| 1548874761 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 23770 E Smoky Hill Rd Ste 240, Aurora, CO 80016-3089 | 2020-09-04 |
| 1134731581 | Cync Health, Inc | Clinic/Center | 9284 Desert Willow Rd, Highlands Ranch, CO 80129-5715 | 2020-08-18 |
| 1992315279 | Gunnison Valley Family Physicians Crested Butte | Clinic/Center | 214 6th Street, Suite 1, Crested Butte, CO 81224 | 2020-08-03 |
| 1386261493 | Keystone Primary Care | Clinic/Center | 11111 E Mississippi Ave Ste 112, Aurora, CO 80012-3106 | 2020-07-06 |
| 1518582865 | Pediatrics West, P.C. | Clinic/Center | 13402 W Coal Mine Ave Ste 200, Littleton, CO 80127-5407 | 2020-06-12 |
| 1902420862 | Cloud Medical LLC | Clinic/Center | 3601 Arapahoe Ave # D-176, Boulder, CO 80303-1310 | 2020-06-05 |
| 1063034221 | Premier Primary Care Clinic LLC | Clinic/Center | 3000 Lawrence St, Denver, CO 80205-3422 | 2020-05-11 |
| 1992330500 | Quality Medical Clinic LLC | Clinic/Center | 3604 Galley Rd Ste 201, Colorado Springs, CO 80909-4301 | 2020-03-04 |
| 1992344659 | Metropolitan General Practice PC | Clinic/Center | 7400 E Crestline Cir Ste 105, Greenwood Village, CO 80111-3656 | 2019-12-29 |
| Find all providers with the same taxonomy | ||||
| City | CENTENNIAL |
| Zip Code | 80112 |
Please comment or provide details below to improve the information on PEDIATRICS 5280 PC.
| 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.