Active NPI
Horizon Womens Care,Professional LLC
- Obstetrics & Gynecology Physician
- Lone Tree, CO
National Provider Identifier
1740247386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- HORIZON WOMENS CARE,PROFESSIONAL LLC
- Practice address
- 10099 Ridge Gate Pkwy
#290
Lone Tree, CO 80124 - Phone
- (303) 791-2112
- Fax
- (303) 683-6415
- NPI assigned
- Apr 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heidi Jo Oster, MD
- Title
- Owner
- Phone
- (303) 791-2112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
10099 Ridge Gate Pkwy
#290
Lone Tree, CO 80124
Mailing address
10099 Ridgegate Pkwy
Suite 290
Lone Tree, CO 80124-5531
Phone (303) 791-2112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59987740 | Medicaid | CO | |
| C350108 | Other | CO | PTAN |
Other names 1
- Judy Baack MD Prof LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379980800000",
"number": "1740247386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10099 RIDGEGATE PKWY",
"address_2": "SUITE 290",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801245531",
"telephone_number": "303-791-2112",
"fax_number": "303-683-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10099 RIDGE GATE PKWY",
"address_2": "#290",
"city": "LONE TREE",
"state": "CO",
"postal_code": "80124",
"telephone_number": "303-791-2112",
"fax_number": "303-683-6415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORIZON WOMENS CARE,PROFESSIONAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-27",
"last_updated": "2013-09-24",
"status": "A",
"authorized_official_last_name": "OSTER",
"authorized_official_first_name": "HEIDI",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-791-2112",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59987740",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "C350108",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Judy Baack MD Prof LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.