Organization Active NPI

Rocky Mountain OBGYN PC

  • Obstetrics & Gynecology Physician
  • Denver, CO
National Provider Identifier
1659340305
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ROCKY MOUNTAIN OBGYN PC
Practice address
4500 East 9TH Avenue
BLDG II, Ste 200
Denver, CO 80220-3921
Phone
(303) 399-0055
Fax
(303) 399-7764
NPI assigned
Mar 15, 2006
Last updated
Nov 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Barbara J Nicholas
Title
Office Manager
Phone
(303) 399-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X CO Primary

Addresses

Primary practice location

4500 East 9TH Avenue
BLDG II, Ste 200
Denver, CO 80220-3921

Mailing address

4500 East 9TH Avenue
BLDG II, Ste 200
Denver, CO 80220-3921
Phone (303) 399-0055

Other identifiers 1

IdentifierTypeStateIssuer
4021614MedicaidCO

National Provider Directory

National Provider Directory

Locations

4500 E 9th Ave
Ste 200
Denver, CO 80220
Phone (303) 399-0055

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1659340305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 EAST 9TH AVENUE",
            "address_2": "BLDG II, STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203921",
            "telephone_number": "303-399-0055",
            "fax_number": "303-399-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 EAST 9TH AVENUE",
            "address_2": "BLDG II, STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203921",
            "telephone_number": "303-399-0055",
            "fax_number": "303-399-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN OBGYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-399-0055"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4021614",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.