Active NPI
Pediatrics at Cherry Creek,LLC
- Pediatrics Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 32058
- Legal business name
- PEDIATRICS AT CHERRY CREEK,LLC
- Practice address
- 300 S Jackson St Ste 300
Denver, CO 80209-3134 - Phone
- (303) 377-9663
- NPI assigned
- Mar 4, 2007
- Last updated
- Jun 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elisabeth Staerz, MD
- Title
- Owner
- Phone
- (303) 377-9663
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 32058 | CO | Primary |
| Primary Care Clinic/Center | 261QP2300X | NU |
Addresses
Primary practice location
300 S Jackson St Ste 300
Denver, CO 80209-3134
Mailing address
300 S Jackson St Ste 300
Denver, CO 80209-3134
Phone (303) 377-9663
Other practice location 1
210 University Blvd
Suite 490
Denver, CO 80206-4616
Phone (303) 377-9663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48571555 | Medicaid | CO |
Other names 1
- Pediatrics at Cherry Creek
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0513024 | Pediatrics at Cherry Creek LLC | Certificate of waiver | Dec 15, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Pediatrics at Cherry Creekllc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Denver, CO
- NPI 1275186470
Locations
210 University Blvd
Ste 490
Denver, CO 80206
Phone (303) 377-9663
300 S Jackson St
Ste 300
Denver, CO 80209
Phone (303) 377-9663
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Denver, CO
- NPI 1245325604
-
- Pediatrics Physician
- Denver, CO
- NPI 1619055530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624406400000",
"number": "1194854406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S JACKSON ST STE 300",
"city": "DENVER",
"state": "CO",
"postal_code": "802093134",
"telephone_number": "303-377-9663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S JACKSON ST STE 300",
"city": "DENVER",
"state": "CO",
"postal_code": "802093134",
"telephone_number": "303-377-9663"
}
],
"practiceLocations": [
{
"address_1": "210 University Blvd",
"address_2": "Suite 490",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802064616",
"country_code": "US",
"telephone_number": "303-377-9663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PEDIATRICS AT CHERRY CREEK,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-04",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A",
"authorized_official_last_name": "STAERZ",
"authorized_official_first_name": "ELISABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-377-9663",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "32058",
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48571555",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pediatrics at Cherry Creek",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Denver, CO
- Pediatric Neurology and Epilepsy Specialists, PLLC
- Pediatric Otolaryngology, Head and Neck Surgery, P.C.
- Pediatric Pulmonary and Sleep Specialists, PLLC (Pediatric Sleep Specialists)
- Pediatric Speech Therapy Associates (Summit Pediatric Therapy)
- Pediatric Teletherapy LLC
- Pediatrics at Cherry Creek,LLC
- Pediatrics at Lowry
- Robin T Pedowitz, M.D.
- Lucille Priscilla Pedro Browne, WHNP
- Omar Pedroza Gonzales
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.