Active NPI
Ruth Page Lestikow, PA-C
- Medical Physician Assistant
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.003449
- Practice address
- 777 Bannock St
Denver, CO 80204-4597 - Phone
- (303) 436-4949
- NPI assigned
- Oct 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.003449 | CO | Primary |
| Physician Assistant | 363A00000X | PA.003449 | CO |
Addresses
Primary practice location
777 Bannock St
Denver, CO 80204-4597
Mailing address
777 Bannock St
Denver, CO 80204-4597
Phone (303) 436-4949
Other practice location 1
1700 E 28th Ave
Denver, CO 80205-4502
Phone (720) 423-6435
Other practice location 2
2285 S Federal Blvd
Denver, CO 80219-5433
Phone (720) 423-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08627509 | Medicaid | CO |
Other names 1
- Miss Ruth Page Martin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.003449 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Community Provider Network Inc | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Metro Community Provider Network, Inc. | Current | Accepting new patients | |
| Inpatient Consultants of Colorado PC | Family Medicine | Past | Accepting new patients |
| Inpatient Consultants of Colorado, PC | Family Medicine | Past | Accepting new patients |
| Denver Health and Hospital Authority | Past | Accepting new patients |
Locations
12400 E Jewell Ave
Unit A
Aurora, CO 80012
777 Bannock St
Denver, CO 80204
2255 S Oneida St
Denver, CO 80224
17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899
Organizations & group practices 8
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.
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Federally Qualified Health Center (FQHC)
- Aurora, CO
- NPI 1558727883
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- Federally Qualified Health Center (FQHC)
- Lakewood, CO
- NPI 1326203399
-
- Community/Retail Pharmacy
- Aurora, CO
- NPI 1255591780
-
- Federally Qualified Health Center (FQHC)
- Denver, CO
- NPI 1922049014
-
- Hospitalist Physician
- Aurora, CO
- NPI 1720184690
Family Medicine
-
- Internal Medicine Physician
- Denver, CO
- NPI 1538461256
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1184876369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044597",
"telephone_number": "303-436-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044597",
"telephone_number": "303-436-4949"
}
],
"practiceLocations": [
{
"address_1": "1700 E 28th Ave",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802054502",
"country_code": "US",
"telephone_number": "720-423-6435",
"fax_number": "303-602-2719",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2285 S Federal Blvd",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802195433",
"country_code": "US",
"telephone_number": "720-423-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESTIKOW",
"first_name": "RUTH",
"middle_name": "PAGE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-19",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA.003449",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.003449",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08627509",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RUTH",
"last_name": "MARTIN",
"middle_name": "PAGE",
"prefix": "MISS",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.