Active NPI
North Metro Infectious Disease Specialists, P.C.
- Infectious Disease Physician
- Thornton, CO
National Provider Identifier
1851423875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 25375
- Legal business name
- NORTH METRO INFECTIOUS DISEASE SPECIALISTS, P.C.
- Practice address
- 9141 Grant St
Suite 235
Thornton, CO 80229-4374 - Phone
- (303) 522-4686
- Fax
- (303) 980-0431
- NPI assigned
- Mar 12, 2007
- Last updated
- Jun 25, 2008
- 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
- Mary Lou Cullinan, M.D.
- Title
- Physician
- Phone
- (303) 522-4686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 25375 | CO | Primary |
Addresses
Primary practice location
9141 Grant St
Suite 235
Thornton, CO 80229-4374
Mailing address
9141 Grant St
Suite 235
Thornton, CO 80229-4374
Phone (303) 522-4686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31482775 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9141 Grant St
Ste 235
Thornton, CO 80229
Phone (303) 252-0100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Thornton, CO
- NPI 1710041942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1851423875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9141 GRANT ST",
"address_2": "SUITE 235",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294374",
"telephone_number": "303-522-4686",
"fax_number": "303-980-0431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9141 GRANT ST",
"address_2": "SUITE 235",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294374",
"telephone_number": "303-522-4686",
"fax_number": "303-980-0431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH METRO INFECTIOUS DISEASE SPECIALISTS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "CULLINAN",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "LOU",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "303-522-4686",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "CO",
"license": "25375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31482775",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
- Estrellita Noriega
- Joshua Mitchell Normandeau
- Frances Richard Michael Normile, M.ED., M.S.P.H., CAC
- North Denver Integrated Imaging LLC
- North Metro Community Services, Inc.
- North Smile PLLC (Junior Smiles Childrens Dentistry)
- North Suburban Medical Center
- North Suburban Spine Center LP (North Metro Surgery Center)
- Northland Hearing Centers, Inc (Hearite Corporation)
- Northwest Orthopaedic Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.