Active NPI
Lawrence M Pertcheck, MD
- Diagnostic Radiology Physician
- Wheat Ridge, CO
National Provider Identifier
1467436667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 18221
- Practice address
- 8300 W 38TH Ave
Wheat Ridge, CO 80033-6005 - Phone
- (303) 425-2015
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 18221 | CO | |
| Neuroradiology Physician | 2085N0700X | 18221 | CO | |
| Nuclear Radiology Physician | 2085N0904X | 18221 | CO | |
| Pediatric Radiology Physician | 2085P0229X | 18221 | CO | |
| Diagnostic Radiology Physician | 2085R0202X | 18221 | CO | Primary |
| Therapeutic Radiology Physician | 2085R0203X | 18221 | CO | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 18221 | CO | |
| Radiological Physics Physician | 2085R0205X | 18221 | CO |
Addresses
Primary practice location
8300 W 38TH Ave
Wheat Ridge, CO 80033-6005
Mailing address
1873 S Bellaire St
Suite 420
Denver, CO 80222-4358
Phone (303) 753-1191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01182211 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18221 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RMR Craig Prof LLC | Diagnostic Radiology | Past | Accepting new patients |
| Rocky Mountain Radiologists PC | Pediatric Radiology | Past | Accepting new patients |
| Schryver Medical Sales and Marketing Inc. | Past | Accepting new patients | |
| New Schryver LLC | Past | Accepting new patients | |
| Rocky Mountain Openscan MRI, LLC | Past | Accepting new patients | |
| Yampa Valley Medical Center | Past | Accepting new patients | |
| RMR Investments Inc | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Craig, CO
- NPI 1518050566
-
- Diagnostic Radiology Physician
- Lakeside, CO
- NPI 1942283973
-
- Specialist
- Greenwood Village, CO
- NPI 1861415242
-
- Diagnostic Radiology Physician
- Wheat Ridge, CO
- NPI 1013990043
Pediatric Radiology
-
- Mobile Radiology Clinic/Center
- Denver, CO
- NPI 1295849537
-
- Multi-Specialty Clinic/Center
- Steamboat Springs, CO
- NPI 1295177426
-
- Clinical Medical Laboratory
- Carrollton, TX
- NPI 1689025116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1467436667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1873 S BELLAIRE ST",
"address_2": "SUITE 420",
"city": "DENVER",
"state": "CO",
"postal_code": "802224358",
"telephone_number": "303-753-1191",
"fax_number": "303-753-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 W 38TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336005",
"telephone_number": "303-425-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERTCHECK",
"first_name": "LAWRENCE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "CO",
"license": "18221",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "CO",
"license": "18221",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "CO",
"license": "18221",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "CO",
"license": "18221",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "18221",
"primary": true
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "CO",
"license": "18221",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CO",
"license": "18221",
"primary": false
},
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "CO",
"license": "18221",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01182211",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.