Co Pacs 2 PC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

CO PACS 2 PC

Practice address

14699 E Hampden Ave
Aurora, CO 80014-3903

Phone

(303) 693-0111

NPI assigned

Nov 9, 2021

Organization subpart

No

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

Authorized official

Name

Sandra Bakerink

Title

Provider Enrollment Director

Phone

(865) 500-1325

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1619633237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 NW 136TH AVENUE",
            "address_2": "BUILDING H, SUITE 100 MSC 11607-001",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232857",
            "telephone_number": "865-500-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14699 E HAMPDEN AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143903",
            "telephone_number": "303-693-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CO PACS 2 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "BAKERINK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT DIRECTOR",
        "authorized_official_telephone_number": "865-500-1325"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hospitalist Physician in Aurora, CO
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• Hospitalist Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.