NPIMap

Organization Active NPI

Piney Creek Medical LLC

  • Family Medicine Physician
  • Aurora, CO
National Provider Identifier
1003859836
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PINEY CREEK MEDICAL LLC
Practice address
16728 E Smoky Hill Rd
Aurora, CO 80015-2400
Phone
(303) 766-1006
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael G Ratliff, DO
Title
President
Phone
(303) 766-1006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

16728 E Smoky Hill Rd
Aurora, CO 80015-2400

Mailing address

3464 S Willow St
Suite 198
Denver, CO 80231-4531
Phone (303) 755-2900

Other identifiers 3

IdentifierTypeStateIssuer
29331285MedicaidCO
CG0427OtherCORAILROAD MEDICARE
PI41532OtherCOBLUE SHIELD

National Provider Directory

National Provider Directory

Locations

16728 E Smoky Hill Rd
Centennial, CO 80015
Phone (303) 766-1006

16728 E Smoky Hill Rd
Unit 10D
Centennial, CO 80015
Phone (303) 766-1006

3464 S Willow St
Ste 198
Denver, CO 80231

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1003859836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 S WILLOW ST",
            "address_2": "SUITE 198",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314531",
            "telephone_number": "303-755-2900",
            "fax_number": "303-755-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16728 E SMOKY HILL RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152400",
            "telephone_number": "303-766-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEY CREEK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-766-1006",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29331285",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG0427",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "PI41532",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.