Pediatrix Primary Care of Colorado, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIX PRIMARY CARE OF COLORADO, PLLC

Practice address

8330 Willow St Unit 8330H
Lone Tree, CO 80124-2844

Phone

(800) 243-3839

NPI assigned

Mar 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. David Randolph, MD

Title

President

Phone

(800) 243-3839

Specialties & licenses 1

Addresses

Tax ID family

Pediatrix Primary Care of Colorado PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Pediatrix Primary Care of Colorado, PLLC

  • Pediatrics Physician
  • Aurora, CO
  • NPI 1083336598
  NPD tax ID
• Pediatrix Primary Care of Colorado, PLLC

  • Pediatrics Physician
  • Lakewood, CO
  • NPI 1427751981
  NPD tax ID

Locations

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1639872187",
    "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": "8330 WILLOW ST UNIT 8330H",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242844",
            "telephone_number": "800-243-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIX PRIMARY CARE OF COLORADO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-243-3839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Energy Performance Therapy, P.C.
• Peak Gastroenterology ASC LLC
• Peak Gastroenterology Associates
• Peak Orthopedics PLLC
• Pediatrix Medical Group of Colorado
• Pediatrix Urgent Care of Colorado, PLLC
• Mary Katherine Peiffer, NP
• Melissa Pelkey, MD
• Ricardo L Pena, MD
• Kimberly B Pengel, MD

• Pediatrics Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.