Active NPI
Catholic Health Initiatives Colorado
Doing business as Centura Health Physician Group Colorado Center for Bone Research
- Nephrology Physician
- Lakewood, CO
National Provider Identifier
1487040655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Doing business as
- Centura Health Physician Group Colorado Center for Bone Research
- Practice address
- 3190 S Wadsworth Blvd
Suite 250
Lakewood, CO 80227-4899 - Phone
- (303) 980-9985
- Fax
- (303) 980-1367
- NPI assigned
- Apr 14, 2015
- Last updated
- Apr 20, 2016
- 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
- Angela Skinner
- Title
- Oma / Administrator
- Phone
- (303) 673-7175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | NU | Primary |
Addresses
Primary practice location
3190 S Wadsworth Blvd
Suite 250
Lakewood, CO 80227-4899
Mailing address
PO Box 911057
Denver, CO 80291-1057
Phone (303) 643-1099
Other names 1
- Centura Health Physician Group Colorado Center for Bone Research
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031215000462 | CO | Part B Supplier - Clinic/Group Practice | 8022927342 |
Receives reassigned benefits from 1,310 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Neurology Physician
- Lakewood, CO
- NPI 1225271455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461110400000",
"number": "1487040655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911057",
"city": "DENVER",
"state": "CO",
"postal_code": "802911057",
"telephone_number": "303-643-1099",
"fax_number": "303-643-1176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 S WADSWORTH BLVD",
"address_2": "SUITE 250",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802274899",
"telephone_number": "303-980-9985",
"fax_number": "303-980-1367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-14",
"last_updated": "2016-04-20",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OMA / ADMINISTRATOR",
"authorized_official_telephone_number": "303-673-7175"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Centura Health Physician Group Colorado Center for Bone Research",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakewood, CO
- Catholic Health Initiatives Colorado (St. Anthony Diabetes Prevention)
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado (Edts Endocrinology Sah)
- Catholic Health Initiatives Colorado (Nssa Neurosurg Sah)
- Catholic Health Initiatives Colorado (Saas Gen Surg Sah)
- Catholic Health Initiatives Colorado (CommonSpirit Palliative Care St. Anthony)
- Catholic Health Initiatives Colorado (CTSS Cardiac Thor Sah)
- Catholic Health Initiatives Colorado (Vascular & Endovascular Specialists of Colorado)
- Catholic Health Initiatives Colorado (Sah Behavioral Health)
- Catholic Health Initiatives Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.