Organization Active NPI

Denver-Evergreen OB-GYN GRP., PC

  • Specialist
  • Denver, CO
National Provider Identifier
1689672610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DENVER-EVERGREEN OB-GYN GRP., PC
Practice address
425 S Cherry St
Suite 410
Denver, CO 80246-1226
Phone
(303) 377-9500
Fax
(303) 377-2712
NPI assigned
Jul 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Glenn T. Foust III, M.D.NPI 1366440315
Title
President/Owner
Phone
(303) 377-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

425 S Cherry St
Suite 410
Denver, CO 80246-1226

Mailing address

425 S Cherry St
Suite 410
Denver, CO 80246-1226
Phone (303) 377-9500

Other identifiers 1

IdentifierTypeStateIssuer
04006607MedicaidCO

National Provider Directory

National Provider Directory

Locations

30940 Stagecoach Blvd
Ste E230
Evergreen, CO 80439
Phone (303) 674-2928

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689672610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST",
            "address_2": "SUITE 410",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461226",
            "telephone_number": "303-377-9500",
            "fax_number": "303-377-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST",
            "address_2": "SUITE 410",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461226",
            "telephone_number": "303-377-9500",
            "fax_number": "303-377-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER-EVERGREEN OB-GYN GRP., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOUST",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "303-377-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04006607",
            "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 Aug 22, 2020; 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.