Pediatrix Primary Care of Colorado, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIX PRIMARY CARE OF COLORADO, PLLC

Practice address

14262 E Cedar Ave # L0A
Aurora, CO 80012-1428

Phone

(800) 243-3839

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Dr. David Randolph, MD

Title

President

Phone

(800) 243-3839

Specialties & licenses 1

Addresses

Tax ID family

Pediatrix Primary Care of Colorado PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatrix Primary Care of Colorado, PLLC

  • Pediatrics Physician
  • Lakewood, CO
  • NPI 1427751981
  NPD tax ID
• Pediatrix Primary Care of Colorado, PLLC

  • Pediatrics Physician
  • Lone Tree, CO
  • NPI 1639872187
  NPD tax ID

Locations

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1083336598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "800-243-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14262 E CEDAR AVE # L0A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800121428",
            "telephone_number": "800-243-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIX PRIMARY CARE OF COLORADO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-243-3839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Sedation Dentistry of Colorado PLLC (Pediatric Sedation Dentistry of Colorado)
• Pediatric Services of America, LLC (Aveanna Healthcare)
• Pediatric Services of America, LLC (Aveanna Healthcare)
• Pediatric Services of America, LLC (Aveanna Healthcare)
• Pediatric Speech Therapy Associates (Summit Pediatric Therapy)
• Pediatrix Urgent Care of Colorado, PLLC
• Pedo Four, Prof. LLC (Comfort Dental Kids - Aurora)
• Joseph Peetz, D.O.
• Kathryn Lyn Pegan, AU.D.
• Kay Pegues

• Pediatrics Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.