Pediatrics at Lowry

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

17427 Issued in CO

Legal business name

PEDIATRICS AT LOWRY

Practice address

125 Rampart Way Ste 220
Denver, CO 80230-6429

Phone

(720) 859-8222

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Paul Bogan, MD

Title

MD

Phone

(720) 859-8222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518007657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RAMPART WAY STE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306429",
            "telephone_number": "720-859-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RAMPART WAY STE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306429",
            "telephone_number": "720-859-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS AT LOWRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "720-859-8222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "17427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Denver, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.