Pediatrix Medical Group of Colorado, P.C.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

Legal business name

PEDIATRIX MEDICAL GROUP OF COLORADO, P.C.

Practice address

4090 Briargate Pkwy
Colorado Springs, CO 80920-7815

Phone

(719) 305-1234

NPI assigned

Sep 1, 2020

Last updated

Jun 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Chen

Title

Assistant Secretary

Phone

(800) 243-3839

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pediatrix Medical Group of Colorado PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Pediatrix Medical Group of Colorado, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Colorado Springs, CO
  • NPI 1164656120
  NPD tax ID
• Pediatrix Medical Group of Colorado, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Pueblo, CO
  • NPI 1174137806
  NPD tax ID
• Pediatrix Medical Group of Colorado, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Colorado Springs, CO
  • NPI 1336754175
  NPD tax ID

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1558975284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "800-243-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 BRIARGATE PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207815",
            "telephone_number": "719-305-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIX MEDICAL GROUP OF COLORADO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "800-243-3839"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000175148",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Speech and Language Center
• Pediatric Speech and Language Center
• Pediatric Therapy Connection, PC
• Pediatrix Medical Group of Colorado, P.C.
• Pediatrix Medical Group of Colorado, P.C.
• Pediatrix Medical Management Group Inc
• Izabelle Pedotto
• Desiree Pedraza
• Ayana Pedrick
• Jayna Pedro

• Neonatal-Perinatal Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Neonatal-Perinatal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.