Littleton Pediatric Medical Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LITTLETON PEDIATRIC MEDICAL CENTER

Practice address

206 W County Line Rd
Suite 110
Highlands Ranch, CO 80129-2319

Phone

(303) 791-9999

Fax

(303) 791-2778

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert O Gin, MDNPI 1205829108

Title

President

Phone

(303) 791-9999

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Littleton Pediatric Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Littleton Pediatric Medical Center

  • Pediatrics Physician
  • Littleton, CO
  • NPI 1356974356
  NPD tax ID

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert O Gin, MD

  • Pediatrics Physician
  • Highlands Ranch, CO
  • NPI 1205829108
  NPD (past) Authorized official
• Jeffrey Barter, MD

  • Pediatrics Physician
  • Littleton, CO
  • NPI 1174516066
  NPD (past)
• Deborah K Bublitz, MD

  • Pediatrics Physician
  • Highlands Ranch, CO
  • NPI 1316930209
  NPD (past)
• Robert Gregory Froehlke, MD

  • Pediatrics Physician
  • Littleton, CO
  • NPI 1669578514
  NPD (past)
• Karen Koto, DO

  • Pediatrics Physician
  • Highlands Ranch, CO
  • NPI 1861808925
  NPD (past)
• Nicholas C Kyriazi, MD

  • Pediatrics Physician
  • Highlands Ranch, CO
  • NPI 1265425151
  NPD (past)
• Brienna Miller, MD

  • Pediatrics Physician
  • Colorado Springs, CO
  • NPI 1740770809
  NPD (past)
• Tamera Nelson, MD

  • Pediatrics Physician
  • Aurora, CO
  • NPI 1659446227
  NPD (past)
• Richard J Rosenbaum, MD

  • Pediatrics Physician
  • Highlands Ranch, CO
  • NPI 1114910015
  NPD (past)
• Maureen Snelling, M.D.

  • Pediatrics Physician
  • Vancouver, WA
  • NPI 1235264581
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1174624571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W COUNTY LINE RD",
            "address_2": "SUITE 110",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292319",
            "telephone_number": "303-791-9999",
            "fax_number": "303-791-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W COUNTY LINE RD",
            "address_2": "SUITE 110",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292319",
            "telephone_number": "303-791-9999",
            "fax_number": "303-791-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLETON PEDIATRIC MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "GIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-791-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04670089",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon J Linn, DDS, MS
• Sean D Linnan, OTR
• Bartlomiej Lipko, PA-C
• Yelena Lisser, RN
• Mark Edward Littlefield, MA, LPCC
• Kathleen Ruth Litton, ARNP
• Shay Liverant
• Michael Graham Loar, MD
• Christian Damon Lobo, MD
• Christina Marie Loburgio, SURGICAL ASSISTANT

• Pediatrics Physician in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.