Active NPI
GTG Colorado LLC
- Infectious Disease Physician
- Denver, CO
National Provider Identifier
1457959637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- GTG COLORADO LLC
- Practice address
- 1959 Wewatta St Unit 516
Denver, CO 80202-6624 - Phone
- (303) 895-4475
- NPI assigned
- Oct 11, 2020
- 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
- David Fetter
- Title
- Ceo
- Phone
- (303) 895-4475
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
1959 Wewatta St Unit 516
Denver, CO 80202-6624
Mailing address
1959 Wewatta St Unit 516
Denver, CO 80202-6624
Other names 2
- Good to Go
- GTG LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602374400000",
"number": "1457959637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 WEWATTA ST UNIT 516",
"city": "DENVER",
"state": "CO",
"postal_code": "802026624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 WEWATTA ST UNIT 516",
"city": "DENVER",
"state": "CO",
"postal_code": "802026624",
"telephone_number": "303-895-4475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GTG COLORADO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-11",
"last_updated": "2020-10-11",
"certification_date": "2020-10-11",
"status": "A",
"authorized_official_last_name": "FETTER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "303-895-4475"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Good to Go",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GTG LLC",
"code": "4",
"type": "Former Legal Business 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 Oct 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.