Active NPI
Rocky Mountain Pediatric Pulmonology PC
- Pulmonary Disease Physician
- Denver, CO
National Provider Identifier
1356526776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- ROCKY MOUNTAIN PEDIATRIC PULMONOLOGY PC
- Practice address
- 4545 E 9TH Ave Ste 375
Denver, CO 80220-3987 - Phone
- (303) 831-9853
- NPI assigned
- Jan 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lee Rusakow, MD
- Title
- MD
- Phone
- (303) 831-9853
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
4545 E 9TH Ave Ste 375
Denver, CO 80220-3987
Mailing address
4545 E 9TH Ave Ste 375
Denver, CO 80220-3987
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199318400000",
"number": "1356526776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 E 9TH AVE STE 375",
"city": "DENVER",
"state": "CO",
"postal_code": "802203987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 E 9TH AVE STE 375",
"city": "DENVER",
"state": "CO",
"postal_code": "802203987",
"telephone_number": "303-831-9853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY MOUNTAIN PEDIATRIC PULMONOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-03",
"last_updated": "2008-01-03",
"status": "A",
"authorized_official_last_name": "RUSAKOW",
"authorized_official_first_name": "LEE",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "303-831-9853",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
- Rocky Mountain OBGYN PC
- Rocky Mountain Optical Group
- Rocky Mountain Oral and Maxillofacial Surgery
- Rocky Mountain Pain Consultants,PC
- Rocky Mountain Pediatric Nutrition LLC
- Rocky Mountain Pediatric Surgery, P.C
- Rocky Mountain Pediatric Urology, PC
- Rocky Mountain Physicians Group, PC (Metro Urgent Care)
- Rocky Mountain Physicians Group, PC (Metro Urgent Care)
- Rocky Mountain Physicians Group, PC (Metro Urgent Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.