Centennial Valley Womens Clinic

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

CENTENNIAL VALLEY WOMENS CLINIC

Practice address

511 Crossing Dr
#100A
Lafayette, CO 80026

Phone

(303) 673-0777

Fax

(303) 673-9313

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn Sue Schaffter, MD

Title

Owner Doctor

Phone

(303) 673-0777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• S Corp Other name

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255444576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 CROSSING DR",
            "address_2": "#100A",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "80026",
            "telephone_number": "303-673-0777",
            "fax_number": "303-673-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 CROSSING DR",
            "address_2": "#100A",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "80026",
            "telephone_number": "303-673-0777",
            "fax_number": "303-673-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL VALLEY WOMENS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHAFFTER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "303-673-0777",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04008777",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S Corp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carol Jane Caudill, P. T.
• Wesley Michael Cavanaugh, D.C.
• Matthew Cavanna
• Centaur Pharmacy
• Centennial Radiation Oncology, P.C.
• Center for Valued Living, PLLC
• Daniela Estefanie Cerda Davila
• Cathy Wing Chan, RDH
• Holly Chandler, LPC
• Charles E. Stuart, DMD, PC

• Gynecology Physician in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.