| Pediatrix Obstetrix Medical Group Of Colorado | |
|
1719 E 19th Ave Denver CO 80218-1235 | |
| (303) 839-6000 | |
| Not Available |
| Full Name | Pediatrix Obstetrix Medical Group Of Colorado |
|---|---|
| Speciality | Pediatrics |
| Location | 1719 E 19th Ave, Denver, Colorado |
| Authorized Official Name and Position | Linda Chen (ASSISTANT SECRETARY) |
| Authorized Official Contact | 8002433839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatrix Obstetrix Medical Group Of Colorado 1301 Concord Ter Sunrise FL 33323-2843 Ph: (800) 243-3839 | Pediatrix Obstetrix Medical Group Of Colorado 1719 E 19th Ave Denver CO 80218-1235 Ph: (303) 839-6000 |
| NPI Number | 1700983103 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 10/23/2024 |
| Medicare PECOS PAC ID | 6709776651 |
|---|---|
| Medicare Enrollment ID | O20160518001378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700983103 | NPI | - | NPPES |
| 04021655 | Medicaid | CO |
| Provider Name | Richard P Porreco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104889120 PECOS PAC ID: 8325938285 Enrollment ID: I20160707001204 |
| Provider Name | Amy M Adelberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346351327 PECOS PAC ID: 2466442785 Enrollment ID: I20160711002019 |
| Provider Name | Sasha E Andrews |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801095195 PECOS PAC ID: 9638313067 Enrollment ID: I20160712001044 |
| Provider Name | Shira G Fishman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225234172 PECOS PAC ID: 0648441055 Enrollment ID: I20160719002182 |
| Provider Name | Lynn G Lindsay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336249432 PECOS PAC ID: 2668651936 Enrollment ID: I20160803002564 |
| Provider Name | David J Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144279787 PECOS PAC ID: 6002806536 Enrollment ID: I20161208001314 |
| Provider Name | Jane E Nydam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881740496 PECOS PAC ID: 9537220389 Enrollment ID: I20170808002705 |
| Provider Name | Samuel T Brescia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164608535 PECOS PAC ID: 3375457104 Enrollment ID: I20170810000242 |
| Provider Name | Michael D Pettersen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700824430 PECOS PAC ID: 8729103791 Enrollment ID: I20171003005656 |
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