Active NPI
Robin Maccoll Fennimore, MD
- Hospitalist Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 48850
- Practice address
- 4500 E 9TH Ave
Ste 200
Denver, CO 80220-3911 - Phone
- (303) 399-0055
- Fax
- (303) 399-7764
- NPI assigned
- Jan 30, 2007
- Last updated
- Jun 7, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 48850 | CO | |
| Obstetrics Physician | 207VX0000X | 48850 | CO | |
| Hospitalist Physician | 208M00000X | 48850 | CO | Primary |
Addresses
Primary practice location
4500 E 9TH Ave
Ste 200
Denver, CO 80220-3911
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
2807 Roslyn St
Denver, CO 80238-2624
Phone (720) 848-0000
Other names 1
- Cynthia Roberton Maccoll
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48850 | CO | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Saint Joseph Hospital Inc | Maternal & Fetal Medicine | Current | Accepting new patients |
| Saint Joseph Hospital, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| University Physicians, Incorporated | Current | Accepting new patients | |
| University Physicians Incorporated | Obstetrics & Gynecology | Current | Accepting new patients |
| Uptown Community Health Center Inc | Current | Accepting new patients | |
| Uptown Community Health Center Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| University Physicians Incorporated | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
13123 E 16th Ave
Fl 4
Aurora, CO 80045
Phone (303) 724-6277
500 Eldorado Blvd
Ste 6250
Broomfield, CO 80021
Phone (303) 272-0750
1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000
1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610
1960 N Ogden St
Ste 340
Denver, CO 80218
Phone (303) 318-3816
1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500
4500 E 9th Ave
Ste 200
Denver, CO 80220
Phone (303) 399-0055
Dept 1061
Denver, CO 80256
Interoperability endpoints
- rfennimore59612@direct.intermountainhealth.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Intermountain Health Saint Joseph Hospital
- Obstetrics & Gynecology Physician
- Denver, CO
- NPI 1154361350
-
dba CU Medicine
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
Obstetrics & Gynecology
-
dba Bruner Family Medicine
- Family Medicine Physician
- Denver, CO
- NPI 1598408973
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
- Neurological Surgery Physician
- Wheat Ridge, CO
- NPI 1013543891
-
dba Maternal Fetal Medicine Center
- Maternal & Fetal Medicine Physician
- Brighton, CO
- NPI 1104450485
-
dba Cu Medicine Obstetrics & Gynecology - Parker
- Obstetrics & Gynecology Physician
- Parker, CO
- NPI 1326525221
-
dba CU Sports Medicine Colorado Center
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
-
dba Uptown Midwifery Clinic (FQHC Look-a-like)
- Federally Qualified Health Center (FQHC)
- Denver, CO
- NPI 1619844669
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1245377522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 E 9TH AVE",
"address_2": "STE 200",
"city": "DENVER",
"state": "CO",
"postal_code": "802203911",
"telephone_number": "303-399-0055",
"fax_number": "303-399-7764"
}
],
"practiceLocations": [
{
"address_1": "2807 Roslyn St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802382624",
"country_code": "US",
"telephone_number": "720-848-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FENNIMORE",
"first_name": "ROBIN",
"middle_name": "MACCOLL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "CO",
"license": "48850",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CO",
"license": "48850",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CO",
"license": "48850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "MACCOLL",
"middle_name": "ROBERTON",
"credential": "MD",
"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 Jun 7, 2023; 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.