Pediatrix Medical Group of Colorado, P.C.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

Legal business name

PEDIATRIX MEDICAL GROUP OF COLORADO, P.C.

Practice address

1400 E Boulder St
Colorado Springs, CO 80909-5533

Phone

(719) 447-8812

Fax

(719) 447-8987

NPI assigned

May 6, 2009

Last updated

Nov 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Chen

Title

Assistant Secretary

Phone

(800) 243-3839

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Pediatrix Medical Group of Colorado PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Pediatrix Medical Group of Colorado, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Pueblo, CO
  • NPI 1174137806
  NPD tax ID
• Pediatrix Medical Group of Colorado, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Colorado Springs, CO
  • NPI 1336754175
  NPD tax ID
• Pediatrix Medical Group of Colorado, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Colorado Springs, CO
  • NPI 1558975284
  NPD tax ID

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1164656120",
    "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": "1400 E BOULDER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-447-8812",
            "fax_number": "719-447-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIX MEDICAL GROUP OF COLORADO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "800-243-3839"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Neonatal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33353255",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Pulmonary and Sleep Specialists, PLLC (Pediatric Sleep Specialists)
• Pediatric Services of America, Inc (PSA Healthcare)
• Pediatric Speech and Language Center
• Pediatric Speech and Language Center
• Pediatric Therapy Connection, PC
• Pediatrix Medical Group of Colorado, P.C.
• Pediatrix Medical Group of Colorado, P.C.
• Pediatrix Medical Management Group Inc
• Izabelle Pedotto
• Desiree Pedraza

• Neonatal-Perinatal Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Neonatal-Perinatal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.