Active NPI
Christian Pariseau, MD
- Pediatrics Physician
- Loveland, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DR.0055277
- Practice address
- 2500 Rocky Mountain Ave Ste 330
Loveland, CO 80538-9004 - Phone
- (970) 313-2700
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35123774 | OH | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 35123774 | OH | |
| Pediatrics Physician | 208000000X | DR.0055277 | CO | Primary |
Addresses
Primary practice location
2500 Rocky Mountain Ave Ste 330
Loveland, CO 80538-9004
Mailing address
555 S 18TH St
Columbus, OH 43205-2654
Phone (614) 722-2458
Other practice location 1
555 S 18th St
Columbus, OH 43205-2654
Phone (614) 722-2458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0055277 | CO | MD | Pediatrics Physician |
| 35123774 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| John Muir Physician Network | Past | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
3520 E 15th St
Loveland, CO 80538
Phone (970) 313-2700
2500 Rocky Mountain Ave
Ste 330
Loveland, CO 80538
Phone (970) 203-7110
3520 E 15th St
Ste 201
Loveland, CO 80538
Phone (970) 203-7165
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1043345309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 S 18TH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052654",
"telephone_number": "614-722-2458",
"fax_number": "614-722-4966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 ROCKY MOUNTAIN AVE STE 330",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805389004",
"telephone_number": "970-313-2700"
}
],
"practiceLocations": [
{
"address_1": "555 S 18th St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432052654",
"country_code": "US",
"telephone_number": "614-722-2458",
"fax_number": "614-722-4966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARISEAU",
"first_name": "CHRISTIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35123774",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "OH",
"license": "35123774",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0055277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.