Organization Active NPI

Premier ENT Head and Neck Surgery, P.C.

  • Otolaryngology Physician
  • Denver, CO
National Provider Identifier
1831389998
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
DR45920 Issued in CO
Legal business name
PREMIER ENT HEAD AND NECK SURGERY, P.C.
Practice address
1601 E 19TH Ave
Suite 4000
Denver, CO 80218-1216
Phone
(303) 832-0860
Fax
(303) 832-1457
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. Catherine Leanne Considine, D.O.NPI 1336334465
Title
Owner/Provider
Phone
(303) 832-0860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X DR45920 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave
Suite 4000
Denver, CO 80218-1216

Mailing address

1601 E 19TH Ave
Suite 4000
Denver, CO 80218-1216
Phone (303) 832-0860

Other identifiers 1

IdentifierTypeStateIssuer
62974734MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071011000568 CO Part B Supplier - Clinic/Group Practice 5496840852 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

1601 E 19th Ave
Ste 4000
Denver, CO 80218
Phone (303) 832-0860

Practitioners & affiliated clinicians

Practitioners 1

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": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1831389998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "SUITE 4000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-832-0860",
            "fax_number": "303-832-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "SUITE 4000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-832-0860",
            "fax_number": "303-832-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ENT HEAD AND NECK SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "CONSIDINE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "LEANNE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "303-832-0860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "DR45920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62974734",
            "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 Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.