OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. (NPI# 1942824123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942824123 |
| Entity Type | Organization |
| Organization Name | OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. |
| Practice Address |
111 6th St Hugo CO 80821-2002 |
| Mailing Address |
4722 N 24th St Ste 150 Phoenix AZ 85016-4860 |
| Practice Telephone | 7197432421 |
| 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 | 59112565 | 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 |
111 6TH ST |
| City | HUGO |
| State | CO |
| Zip Code | 80821-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033122544 | Lincoln Community Hospital | Home Health | 111 6th St, Hugo, CO 80821-2002 | 2006-08-14 |
| 1225639818 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 111 6th St, Hugo, CO 80821-2002 | 2020-11-02 |
| 1598371197 | Healthone Heart Care LLC | Internal Medicine | 111 6th St, Hugo, CO 80821-2002 | 2020-09-18 |
| 1417567363 | Jennie Renee Jolliffe | Nurse Practitioner | 111 6th St, Hugo, CO 80821-2002 | 2020-08-05 |
| 1578188074 | Lincoln Community Hospital Gordon Family Practice | Family Medicine | 111 6th St, Hugo, CO 80821-2002 | 2020-06-10 |
| 1104457431 | Poudre Valley Medical Group, LLC | Internal Medicine | 111 6th St, Hugo, CO 80821-2002 | 2020-01-27 |
| 1437791266 | Hcc of Hugo LLC | Hospitalist | 111 6th St, Hugo, CO 80821-2002 | 2019-10-14 |
| 1063071496 | Holly Hollembeak | Nurse Practitioner | 111 6th St, Hugo, CO 80821-2002 | 2019-06-10 |
| 1720646722 | Brett D Boettcher | Physical Therapist | 111 6th St, Hugo, CO 80821-2002 | 2019-06-04 |
| 1376016741 | Samantha Wilkinson | Physician Assistant | 111 6th St, Hugo, CO 80821-2002 | 2019-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265917215 | Jobeth Mills | Registered Nurse | 325 8th Street, Hugo, CO 80821 | 2018-09-26 |
| 1427229608 | Genesis Counseling | Counselor | 415 4th Ave, Hugo, CO 80821 | 2008-03-17 |
| 1619151941 | Lincoln County Wellness Foundation | Community/Behavioral Health | 103 Third St., Hugo, CO 80821 | 2007-12-21 |
| 1548263049 | Mark R Olson | Family Medicine | 111 6th Street, Hugo, CO 80821 | 2005-05-27 |
| 1982190609 | Lincoln County Public Health | Public Health or Welfare | 326 8th Street, Hugo, CO 80821 | 2018-07-05 |
| 1194222653 | Richard Michael Johnson | Preventive Medicine | 326 8th Street, Hugo, CO 80821 | 2018-04-11 |
| 1083034516 | Chanda Morgan | Nurse Practitioner | 111 6th St., Hugo, CO 80821 | 2014-04-23 |
| 1326313446 | Susan Jean Kelly | Registered Nurse | 326 8th Street, Hugo, CO 80821 | 2012-03-22 |
| 1285652438 | Hugo Volunteer Fire Department | Ambulance | 227 5th Street, Hugo, CO 80821-0011 | 2006-07-17 |
| 1871823724 | A1 Home Care Services Inc. | Home Health | 409 4th Ave, Suite 4, Hugo, CO 80821-0063 | 2009-12-28 |
| Find all providers in zip 80821 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
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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.