NPIMap

Organization Active NPI

Aurora Pediatric Associates, LLP

  • Pediatrics Physician
  • Aurora, CO
National Provider Identifier
1558764407
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
44225 Issued in CO
Legal business name
AURORA PEDIATRIC ASSOCIATES, LLP
Practice address
1300 S Potomac St
Suite 156
Aurora, CO 80012-6166
Phone
(303) 699-6200
Fax
(720) 974-7175
NPI assigned
Oct 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Michael Kurtz, MD
Title
Partner
Phone
(303) 699-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 44225 CO Primary

Addresses

Primary practice location

1300 S Potomac St
Suite 156
Aurora, CO 80012-6166

Mailing address

3300 S Parker Rd
Suite 404
Aurora, CO 80014-3518
Phone (303) 699-6200

Other identifiers 1

IdentifierTypeStateIssuer
42757703MedicaidCO

Other names 1

  • Advanced Pediatric Associates, LLP Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0510426Advanced Pediatric Associates1300 S Potomac St, Ste 156, Aurora, CO 80012Provider-performed microscopySep 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Advanced Pediatric Associates LLP5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1558764407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S PARKER RD",
            "address_2": "SUITE 404",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143518",
            "telephone_number": "303-699-6200",
            "fax_number": "720-974-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S POTOMAC ST",
            "address_2": "SUITE 156",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800126166",
            "telephone_number": "303-699-6200",
            "fax_number": "720-974-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PEDIATRIC ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "303-699-6200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "44225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42757703",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pediatric Associates, LLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.