Aesthetic Surgery & Dermatology of Cherry Creek PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

AESTHETIC SURGERY & DERMATOLOGY OF CHERRY CREEK PC

Practice address

3300 E 1St Ave
Suite 400
Denver, CO 80206-5810

Phone

(303) 333-6060

NPI assigned

Jul 16, 2006

Last updated

Dec 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adrienne E Stewart, MDNPI 1154454353

Title

President

Phone

(303) 333-6060

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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.

• Adrienne Elizabeth Stewart, M.D.

  • Dermatology Physician
  • Denver, CO
  • NPI 1154454353
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1336166701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E 1ST AVE",
            "address_2": "SUITE 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065810",
            "telephone_number": "303-333-6060",
            "fax_number": "303-333-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E 1ST AVE",
            "address_2": "SUITE 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065810",
            "telephone_number": "303-333-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC SURGERY & DERMATOLOGY OF CHERRY CREEK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-333-6060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ST86691",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.