NPIMap

Organization Active NPI

5280 Anesthesia PC

  • Anesthesiology Physician
  • Parker, CO
National Provider Identifier
1689789927
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
5280 ANESTHESIA PC
Practice address
9397 Crown Crest Blvd
# 110
Parker, CO 80138-8575
Phone
(720) 974-6499
NPI assigned
Aug 19, 2006
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Ryan J Oblanchinski, DO
Title
President
Phone
(303) 513-4693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

9397 Crown Crest Blvd
# 110
Parker, CO 80138-8575

Mailing address

PO Box 974815
Dallas, TX 75397-0001
Phone (800) 394-4445

Other identifiers 1

IdentifierTypeStateIssuer
19984367MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061122000467 CO Part B Supplier - Clinic/Group Practice 2365440559 Receives reassigned benefits from 11 practitioners
Practice locations: Lone Tree, CO

National Provider Directory

National Provider Directory

Locations

1400 S Potomac St
Ste 122
Aurora, CO 80012
Phone (303) 695-2726

4700 Castleton Way
Castle Rock, CO 80109
Phone (207) 887-3657

8310 S Valley Hwy
Ste 3036
Englewood, CO 80112
Phone (720) 225-5000

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1689789927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 974815",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753970001",
            "telephone_number": "800-394-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9397 CROWN CREST BLVD",
            "address_2": "# 110",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388575",
            "telephone_number": "720-974-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5280 ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "OBLANCHINSKI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-513-4693",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19984367",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.