Pediatric and Adolescent Center

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

12100 Issued in CO

Legal business name

PEDIATRIC AND ADOLESCENT CENTER

Practice address

3400 S Oneida Way
Suite 101
Denver, CO 80224-2850

Phone

(303) 758-0005

Fax

(303) 756-8077

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Philip L Lewis

Title

Owner

Phone

(303) 758-0005

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1235353087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 S ONEIDA WAY",
            "address_2": "SUITE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242850",
            "telephone_number": "303-758-0005",
            "fax_number": "303-756-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S ONEIDA WAY",
            "address_2": "SUITE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242850",
            "telephone_number": "303-758-0005",
            "fax_number": "303-756-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND ADOLESCENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-758-0005",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CO",
            "license": "12100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99173824",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chitra Chauhan Peddada, M.D.
• Taylor Michael Pedego, DDS
• Katherine Pedersen, FNP
• Niels Jonathan Pedersen, D.C.
• Adrienne L Pederson, LCSW
• Pediatric Anesthesia Consultants, PC
• Pediatric Anesthesiologists of Colorado, PLLC
• Pediatric Effective Elimination Program Clinic & Consulting, PC
• Pediatric Endocrine Associates, P.C.
• Pediatric Gastroenterology Consultants PC

• Pediatric Adolescent Medicine Physician in Denver, CO
• Providers in Denver, CO by specialty
• Pediatric Adolescent Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.