NPIMap

Organization Active NPI

Colorado Geriatric Care, PC

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1447531462
Registry record updated Sep 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2939 Issued in CO
Legal business name
COLORADO GERIATRIC CARE, PC
Practice address
2001 Lincoln St Unit 911
Denver, CO 80202-3850
Phone
(303) 831-6686
Fax
(720) 932-9255
NPI assigned
Sep 3, 2011
Last updated
Sep 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2011

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

Authorized official

Name
Brenda Hernandez, MA
Title
Doo
Phone
(303) 831-6686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2939 CO Primary

Addresses

Primary practice location

2001 Lincoln St Unit 911
Denver, CO 80202-3850

Mailing address

PO Box 40065
Denver, CO 80204-0065
Phone (303) 831-6686

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1315008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315008000000",
    "number": "1447531462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40065",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802040065",
            "telephone_number": "303-831-6686",
            "fax_number": "720-932-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LINCOLN ST UNIT 911",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802023850",
            "telephone_number": "303-831-6686",
            "fax_number": "720-932-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO GERIATRIC CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-03",
        "last_updated": "2011-09-03",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "DOO",
        "authorized_official_telephone_number": "303-831-6686",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2011; 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.