Organization Active NPI

Cisneros Center of Obstetrics and Gynecology

  • Obstetrics & Gynecology Physician
  • Thornton, CO
National Provider Identifier
1891993515
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
43511 Issued in CO
Legal business name
CISNEROS CENTER OF OBSTETRICS AND GYNECOLOGY
Practice address
9981 Washington St
Suite 22
Thornton, CO 80229-2169
Phone
(303) 252-1247
Fax
(303) 569-6078
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Rosa J Cisneros, MDNPI 1669451803
Title
Owner
Phone
(303) 252-1247

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 43511 CO Primary

Addresses

Primary practice location

9981 Washington St
Suite 22
Thornton, CO 80229-2169

Mailing address

9981 Washington St
Suite 22
Thornton, CO 80229-2169
Phone (303) 252-1247

Other identifiers 1

IdentifierTypeStateIssuer
86856723MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060207000912 CO Part B Supplier - Clinic/Group Practice 1557376837 Receives reassigned benefits from 2 practitioners
Practice locations: Thornton, CO

National Provider Directory

National Provider Directory

Locations

9981 Washington St
Ste 2
Thornton, CO 80229
Phone (303) 252-1247

9981 Washington St
Ste 22
Thornton, CO 80229
Phone (303) 252-1247

9981 Washington St
Ste 2221
Thornton, CO 80229

Practitioners & affiliated clinicians

Practitioners 3

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": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1891993515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9981 WASHINGTON ST",
            "address_2": "SUITE 22",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292169",
            "telephone_number": "303-252-1247",
            "fax_number": "303-569-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9981 WASHINGTON ST",
            "address_2": "SUITE 22",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292169",
            "telephone_number": "303-252-1247",
            "fax_number": "303-569-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CISNEROS CENTER OF OBSTETRICS AND GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "CISNEROS",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-252-1247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "43511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86856723",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.