NPIMap

Organization Active NPI

Obstetrix Medical Group of Colorado, P.C.

  • Pediatrics Physician
  • Lone Tree, CO
National Provider Identifier
1659995603
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.
Practice address
10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone
(720) 225-1000
NPI assigned
Jun 5, 2020
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X NU
Pediatrics Physician 208000000X NU Primary
Neonatal-Perinatal Medicine Physician 2080N0001X NU
Pediatric Endocrinology Physician 2080P0205X NU

Addresses

Primary practice location

10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522

Mailing address

4722 N 24TH St Ste 150
Phoenix, AZ 85016-4860
Phone (877) 737-4546

Other identifiers 1

IdentifierTypeStateIssuer
9000141652MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Obstetrix Medical Group of Colorado PC102 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1659995603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 N 24TH ST STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164860",
            "telephone_number": "877-737-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 RIDGEGATE PKWY",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245522",
            "telephone_number": "720-225-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2024-06-10",
        "certification_date": "2023-11-06",
        "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": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000141652",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • 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.