Pediatrics at Cherry Creek,LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRICS AT CHERRY CREEK,LLC

Practice address

3401 Quebec St Ste 3900
Denver, CO 80207-2344

Phone

(303) 377-9663

NPI assigned

Jul 17, 2019

Organization subpart

Yes

Parent organization

PEDIATRICS AT CHERRY CREEKAs reported in NPPES

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

Authorized official

Name

Elisabeth Staerz, MDNPI 1245325604

Title

Owner

Phone

(303) 377-9663

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pediatrics at Stapleton Plaza Other name

Tax ID family

Pediatrics at Cherry Creekllc2 organizations share this tax ID, including this one

Part of

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 at Cherry Creek,LLC

  • Pediatrics Physician
  • Denver, CO
  • NPI 1194854406
  NPD tax ID

Locations

Practitioners 1

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.

• Elisabeth Staerz, MD

  • Pediatrics Physician
  • Denver, CO
  • NPI 1245325604
  NPD Authorized official

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1275186470",
    "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": "3401 QUEBEC ST STE 3900",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072344",
            "telephone_number": "303-377-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS AT CHERRY CREEK,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRICS AT CHERRY CREEK",
        "enumeration_date": "2019-07-17",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "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_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48571555",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84474041",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrics at Stapleton Plaza",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 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
• William M Peebles, LPC

• Pediatrics Physician in Denver, CO
• Providers in Denver, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.