Individual provider Active NPI

Laura Palmere, MD

  • Obstetrics & Gynecology Physician
  • Denver, CO
National Provider Identifier
1790289049
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR.0063653 Issued in CO
Practice address
2803 Roslyn St
Denver, CO 80238-2624
Phone
(303) 403-6300
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X DR.0063653 CO Primary

Addresses

Primary practice location

2803 Roslyn St
Denver, CO 80238-2624

Mailing address

2803 Roslyn St
Denver, CO 80238-2624
Phone (303) 403-6300

Other practice location 1

1960 N Ogden St Ste 340
Denver, CO 80218-3669
Phone (303) 318-3270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609000398 CO Practitioner - Obstetrics/Gynecology 4183970643 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Obstetrics & Gynecology Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 1, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

2803 Roslyn St
Denver, CO 80238
Phone (303) 403-6300

1960 N Ogden St
Ste 340
Denver, CO 80218
Phone (303) 318-3816

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1790289049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 ROSLYN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382624",
            "telephone_number": "303-403-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 ROSLYN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382624",
            "telephone_number": "303-403-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 N Ogden St Ste 340",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802183669",
            "country_code": "US",
            "telephone_number": "303-318-3270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMERE",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0063653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.