NPIMap

Organization Active NPI

Green Valley Ranch Medical Clinic & Urgent Care

  • Primary Care Clinic/Center
  • Denver, CO
National Provider Identifier
1457402075
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GREEN VALLEY RANCH MEDICAL CLINIC & URGENT CARE
Practice address
4809 Argonne St
Suite 100
Denver, CO 80249-6834
Phone
(303) 344-8700
Fax
(303) 344-0200
NPI assigned
Jan 12, 2007
Last updated
Nov 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Dr. Augustine Ujunwa Obinnah, M.D.NPI 1558412494
Title
Member/Owner
Phone
(303) 344-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4809 Argonne St
Suite 100
Denver, CO 80249-6834

Mailing address

4809 Argonne St
Suite 100
Denver, CO 80249-6834
Phone (303) 344-8700

Other identifiers 2

IdentifierTypeStateIssuer
GA665239OtherBLUE CROSS
18970222MedicaidCO

Other names 1

  • Augustine U Obinnah Other name

National Provider Directory

National Provider Directory

Locations

4809 Argonne St
Ste 100
Denver, CO 80249
Phone (303) 344-8700

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1457402075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 ARGONNE ST",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496834",
            "telephone_number": "303-344-8700",
            "fax_number": "303-344-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 ARGONNE ST",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496834",
            "telephone_number": "303-344-8700",
            "fax_number": "303-344-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VALLEY RANCH MEDICAL CLINIC & URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "OBINNAH",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "UJUNWA",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "303-344-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "GA665239",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18970222",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augustine U Obinnah",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 9, 2016; 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.