Organization Active NPI

GTG Colorado LLC

  • Infectious Disease Physician
  • Denver, CO
National Provider Identifier
1457959637
Registry record updated Oct 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
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

Updated by the provider on Oct 11, 2020

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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as
  • GTG LLC Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.