Catholic Health Initiatives Colorado
Organization Active NPI Endocrinology, Diabetes & Metabolism Physician · Lakewood, CO
NPI 1295089985 · NPPES record last updated Aug 16, 2021
Key facts
- NPI
- 1295089985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Practice address
- 11750 W 2ND PL Ste 365
Lakewood, CO 80228-1731 - Phone
- (720) 321-8460
- Fax
- (720) 321-8461
- NPI assigned
- Nov 1, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Angela J Skinner
- Title
- Administrator, Oma
- Phone
- (303) 673-7175
Corporate family (same tax ID) 24
Practitioners 8
-
Gretchen Ahrendt, MD
-
Jennifer Kouri, DO
-
Aubrey Anne Snyder, FNP-BC
-
Stephen J Thompson, CRNA
-
Jennifer Bacalla Bernard, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031215000462 | CO | Part B Supplier - Clinic/Group Practice | 8022927342 |
Receives reassigned benefits from 1,310 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- St Thomas More Centura
Locations
360 Peak One Dr
Ste 300
Frisco, CO 80443
Phone (720) 321-8460
11700 W 2nd Pl
Ste 210E
Lakewood, CO 80228
Phone (720) 321-8460
11700 W 2nd Pl
Ste 410
Lakewood, CO 80228
Phone (720) 321-8280
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | Yes |
Addresses
Primary practice location
11750 W 2ND PL Ste 365
Lakewood, CO 80228-1731
Mailing address
PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104
Other names
- EDTS ENDOCRINOLOGY SAH
- Endocrinology, Diabetes, &Thyroid Specialists of Colorado
Other providers in Lakewood, CO
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
All providers in Lakewood, CO · Endocrinology, Diabetes & Metabolism Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.