Bariatric and Metabolic Center of Colorado

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA.0004017 Issued in CO

Legal business name

BARIATRIC AND METABOLIC CENTER OF COLORADO

Practice address

9397 Crown Crest Blvd Ste 440
Parker, CO 80138-8789

Phone

(303) 269-4370

Fax

(303) 269-4371

NPI assigned

Aug 19, 2014

Last updated

Aug 19, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

PORTERCARE ADVENTIST HEALTH SYSTEMAs reported in NPPES

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

Authorized official

Name

Destria Bennis

Title

Office Manager

Phone

(303) 357-4040

Specialties & licenses 1

Addresses

Part of

Porter Clinical Laborat

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1669871265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9397 CROWN CREST BLVD STE 440",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388789",
            "telephone_number": "303-269-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9397 CROWN CREST BLVD STE 440",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388789",
            "telephone_number": "303-269-4370",
            "fax_number": "303-269-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIATRIC AND METABOLIC CENTER OF COLORADO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "BENNIS",
        "authorized_official_first_name": "DESTRIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-357-4040"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0004017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Marie Ballain, PA-C
• Amishka Bantho, DDS
• Alan Randal Barber, O.D.
• Kristina Barber, MD
• Ashley Danielle Barefoot, DDS
• Barker Ventures Inc (Foot Solutions)
• Tiffany Lynn Barker, CCC-SLP
• Sheila D Barnes Lee, MA, LPCC, LMHC, LSAA
• Sharon M Barnes, LCSW
• Stephen M Barnes, M.D.

• Surgical Physician Assistant in Parker, CO
• Providers in Parker, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.