NPIMap

Organization Active NPI

Peak Anesthesia and Pain Management LLC

  • Anesthesiology Physician
  • Centennial, CO
National Provider Identifier
1417063058
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PEAK ANESTHESIA AND PAIN MANAGEMENT LLC
Practice address
14100 E Arapahoe Rd
Suite B110
Centennial, CO 80112-4028
Phone
(720) 870-7446
Fax
(720) 870-7460
NPI assigned
Aug 23, 2006
Last updated
Feb 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Dr. Michael Joseph GesquiereNPI 1245203090
Title
President
Phone
(720) 870-7446

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X

Addresses

Primary practice location

14100 E Arapahoe Rd
Suite B110
Centennial, CO 80112-4028

Mailing address

PO Box 3274
Greenwood Village, CO 80155-3274
Phone (720) 870-7446

Other identifiers 1

IdentifierTypeStateIssuer
65153375MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061017000584 CO Part B Supplier - Clinic/Group Practice 7012913924 Receives reassigned benefits from 15 practitioners
Practice locations: Denver, CO; Englewood, CO; Lone Tree, CO

National Provider Directory

National Provider Directory

Locations

1400 S Potomac St
#122
Aurora, CO 80012
Phone (303) 695-2726

14100 E Arapahoe Rd
Ste B110
Centennial, CO 80112
Phone (720) 870-7446

500 E Hampden Ave
Ste 500
Englewood, CO 80113
Phone (303) 558-4640

8310 S Valley Hwy
#3036
Englewood, CO 80112
Phone (720) 225-1000

5351 S Roslyn St
Ste 300
Greenwood Village, CO 80111
Phone (303) 221-9500

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1417063058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3274",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801553274",
            "telephone_number": "720-870-7446",
            "fax_number": "720-870-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 E ARAPAHOE RD",
            "address_2": "SUITE B110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124028",
            "telephone_number": "720-870-7446",
            "fax_number": "720-870-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK ANESTHESIA AND PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "GESQUIERE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-870-7446",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65153375",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.