Organization Active NPI

Theresa a Scholz MD PC LLC

  • Dermatology Physician
  • Denver, CO
National Provider Identifier
1467473355
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
THERESA A SCHOLZ MD PC LLC
Practice address
4545 E 9TH Ave Ste 220
Denver, CO 80220-3909
Phone
(303) 329-4840
Fax
(303) 329-4849
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Authorized official

Name
Dr. Theresa A. Scholz, M.D.NPI 1578555637
Title
Physician/Owner
Phone
(303) 755-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

4545 E 9TH Ave Ste 220
Denver, CO 80220-3909

Mailing address

3464 S Willow St
Suite 658
Denver, CO 80231-4531
Phone (303) 755-2900

Other identifiers 1

IdentifierTypeStateIssuer
TH664050OtherCOBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324001669 CO Part B Supplier - Clinic/Group Practice 2769373950 Receives reassigned benefits from 1 practitioner
Practice locations: Arvada, CO

National Provider Directory

National Provider Directory

Locations

5727 Allison St
Arvada, CO 80002
Phone (303) 463-9600

3464 S Willow St
Ste 658
Denver, CO 80231

4545 E 9th Ave
Ste 220
Denver, CO 80220
Phone (303) 329-4840

3464 S Willow St
#658
Denver, CO 80231

400 Indiana St
Ste 390
Golden, CO 80401
Phone (303) 463-9600

1536 Cole Blvd
Ste 120
Lakewood, CO 80401
Phone (303) 423-8334

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1467473355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 S WILLOW ST",
            "address_2": "SUITE 658",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314531",
            "telephone_number": "303-755-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE STE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203909",
            "telephone_number": "303-329-4840",
            "fax_number": "303-329-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA A SCHOLZ MD PC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "SCHOLZ",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "303-755-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "TH664050",
            "state": "CO"
        }
    ],
    "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 Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.