Organization Active NPI

Gi Care of Colorado PLLC

  • Gastroenterology Physician
  • Castle Rock, CO
National Provider Identifier
1093313900
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GI CARE OF COLORADO PLLC
Practice address
3911 Ambrosia St Ste 201
Castle Rock, CO 80109-3888
Phone
(303) 788-8888
Fax
(303) 788-6452
NPI assigned
Oct 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Richard M Roman, M.D.
Title
President
Phone
(303) 788-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

3911 Ambrosia St Ste 201
Castle Rock, CO 80109-3888

Mailing address

10 Inverness Dr E Ste 220
Englewood, CO 80112-5612
Phone (303) 788-8888

Other names 1

  • South Denver GI Castle Rock, Division of GI Care of Colorado PLLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Gi Care of Colorado PLLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1093313900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 INVERNESS DR E STE 220",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125612",
            "telephone_number": "303-788-8888",
            "fax_number": "303-768-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 AMBROSIA ST STE 201",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093888",
            "telephone_number": "303-788-8888",
            "fax_number": "303-788-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI CARE OF COLORADO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-788-8888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Denver GI Castle Rock, Division of GI Care of Colorado PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.