Organization Active NPI

Mile High OB GYN Assoc PC

  • Obstetrics & Gynecology Physician
  • Denver, CO
National Provider Identifier
1801993761
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MILE HIGH OB GYN ASSOC PC
Practice address
425 S Cherry St Ste 300
Denver, CO 80246-1230
Phone
(303) 388-4631
Fax
(303) 320-6961
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Authorized official

Name
Deanna Lalich
Title
Billing Manager
Phone
(303) 239-0309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

425 S Cherry St Ste 300
Denver, CO 80246-1230

Mailing address

PO Box 461309
Denver, CO 80246-5309
Phone (303) 388-4631

Other identifiers 1

IdentifierTypeStateIssuer
16572769MedicaidCO

National Provider Directory

National Provider Directory

Locations

8200 E Belleview Ave
Ste 320
Greenwood Village, CO 80111
Phone (303) 221-1611

8200 E Belleview Ave
Ste 424
Greenwood Village, CO 80111
Phone (303) 771-7506

Practitioners & affiliated clinicians

Practitioners 2

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1801993761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461309",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802465309",
            "telephone_number": "303-388-4631",
            "fax_number": "303-320-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461230",
            "telephone_number": "303-388-4631",
            "fax_number": "303-320-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH OB GYN ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "LALICH",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "303-239-0309"
    },
    "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": "16572769",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.