NPIMap

Organization Active NPI

Neurospecialty Associates PC

  • Neurology Physician
  • Lakewood, CO
National Provider Identifier
1790909893
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROSPECIALTY ASSOCIATES PC
Practice address
8585 W 14TH Ave
Ste a
Lakewood, CO 80215-4860
Phone
(303) 629-5600
Fax
(303) 623-5151
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Dr. Ernest Edward Nitka, MD
Title
Partner
Phone
(303) 629-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

8585 W 14TH Ave
Ste a
Lakewood, CO 80215-4860

Mailing address

8585 W 14TH Ave
Ste a
Lakewood, CO 80215-4860
Phone (303) 629-5600

Other identifiers 1

IdentifierTypeStateIssuer
04015558MedicaidCO

National Provider Directory

National Provider Directory

Locations

8585 W 14th Ave
Ste A
Lakewood, CO 80215
Phone (303) 629-5600

Practitioners & affiliated clinicians

Practitioners 6

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1790909893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 W 14TH AVE",
            "address_2": "STE A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154860",
            "telephone_number": "303-629-5600",
            "fax_number": "303-623-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 W 14TH AVE",
            "address_2": "STE A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154860",
            "telephone_number": "303-629-5600",
            "fax_number": "303-623-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPECIALTY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "NITKA",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "303-629-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04015558",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.