Individual provider Active NPI

Grace Marie Holub, M.D.

  • Obstetrics & Gynecology Physician
  • Aurora, CO
National Provider Identifier
1083656490
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
38823 Issued in CO
Practice address
1444 S Potomac St
Suite100
Aurora, CO 80012-4508
Phone
(303) 752-3000
Fax
(303) 752-3003
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 38823 CO Primary

Addresses

Primary practice location

1444 S Potomac St
Suite100
Aurora, CO 80012-4508

Mailing address

1444 S Potomac St
Suite100
Aurora, CO 80012-4508
Phone (303) 752-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914001219 CO Practitioner - Obstetrics/Gynecology 2860425303 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38823COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Affiliates Obstetrics & Gynecology CurrentSince May 1, 2020 Accepting new patients

Locations

7200 S Alton Way
Ste A100
Centennial, CO 80112
Phone (303) 730-2229

125 Inverness Dr E
Ste 210
Englewood, CO 80112
Phone (303) 221-1490

Interoperability endpoints

  • Direct secure messaging: grace.holub.1@8558.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1083656490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 S POTOMAC ST",
            "address_2": "SUITE100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124508",
            "telephone_number": "303-752-3000",
            "fax_number": "303-752-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 S POTOMAC ST",
            "address_2": "SUITE100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124508",
            "telephone_number": "303-752-3000",
            "fax_number": "303-752-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLUB",
        "first_name": "GRACE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "38823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.