Active NPI
Grace Marie Holub, M.D.
- Obstetrics & Gynecology Physician
- Aurora, CO
National Provider Identifier
1083656490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 38823
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38823 | CO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB-GYN Affiliates | Obstetrics & Gynecology | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Littleton, CO
- NPI 1134185721
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.