Organization Active NPI

Rocky Mountain Cancer Centers, LLP

  • Hematology & Oncology Physician
  • Pueblo, CO
National Provider Identifier
1720681968
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
ROCKY MOUNTAIN CANCER CENTERS, LLP
Practice address
525 W 15TH St Ste 200
Pueblo, CO 81003-2716
Phone
(719) 296-6000
Fax
(719) 545-1146
NPI assigned
Nov 19, 2020
Organization subpart
Yes
Parent organization
ROCKY MOUNTAIN CANCER CENTERS, LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Nancy R. Wortham
Title
Senior Credentialing Coordinator
Phone
(303) 930-7803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

525 W 15TH St Ste 200
Pueblo, CO 81003-2716

Mailing address

7951 E Maplewood Ave Ste 350
Greenwood Village, CO 80111-4758
Phone (303) 930-7803

Other names 1

  • Rocky Mountain Cancer Centers-RMCC Pueblo Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1055804Rocky Mountain Cancer Centers - Pueblo525 W 15TH St, Suite 200, Pueblo, CO 81003AccreditationSep 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Rocky MTN Cancer CNTR L40 organizations share this tax ID, including this one
Part of
Rocky MTN Cancer CNTR L

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1720681968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 E MAPLEWOOD AVE STE 350",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114758",
            "telephone_number": "303-930-7803",
            "fax_number": "303-930-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 15TH ST STE 200",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032716",
            "telephone_number": "719-296-6000",
            "fax_number": "719-545-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN CANCER CENTERS, LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCKY MOUNTAIN CANCER CENTERS, LLP",
        "enumeration_date": "2020-11-19",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "WORTHAM",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "303-930-7803"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Cancer Centers-RMCC Pueblo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.