Rocky Mountain Pediatric Surgery, P.C

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ROCKY MOUNTAIN PEDIATRIC SURGERY, P.C

Practice address

1601 E 19TH Ave
Suite 5500
Denver, CO 80218-1216

Phone

(303) 839-6001

Fax

(303) 839-6033

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Steven S Rothenberg, M.D.

Title

President

Phone

(303) 839-6001

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104817055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "SUITE 5500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-839-6001",
            "fax_number": "303-839-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "SUITE 5500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-839-6001",
            "fax_number": "303-839-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN PEDIATRIC SURGERY, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTHENBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-839-6001",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04008462",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Optical Group
• Rocky Mountain Oral and Maxillofacial Surgery
• Rocky Mountain Pain Consultants,PC
• Rocky Mountain Pediatric Nutrition LLC
• Rocky Mountain Pediatric Pulmonology PC
• Rocky Mountain Pediatric Urology, PC
• Rocky Mountain Physicians Group, PC
• Rocky Mountain Physicians Group, PC
• Rocky Mountain Physicians Group, PC
• Rocky Mountain Physicians Group, PC

• Specialist in Denver, CO
• Providers in Denver, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.