Active NPI
Mile High OB GYN Assoc PC
- Obstetrics & Gynecology Physician
- Denver, CO
National Provider Identifier
1801993761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16572769 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Obstetrics & Gynecology Physician
- Denver, CO
- NPI 1871693416
-
- Obstetrics & Gynecology Physician
- Littleton, CO
- NPI 1003914599
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.