Active NPI
Wendy J. Bannigan, DO
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Lone Tree, CO
National Provider Identifier
1952585879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- DR.0046454
- Practice address
- 10101 Ridgegate Center
Lone Tree, CO 80124-9810 - Phone
- (720) 225-1900
- Fax
- (303) 306-7753
- NPI assigned
- Dec 27, 2007
- Last updated
- Jan 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | DR.0046454 | CO | Primary |
Addresses
Primary practice location
10101 Ridgegate Center
Lone Tree, CO 80124-9810
Mailing address
2349 N Lafayette St
Denver, CO 80205-5341
Phone (303) 525-6314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90006739 | Medicaid | CO |
Other names 1
- Wendy J. McBride
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carepoint Pediatrics PLLC | Pediatric Emergency Medicine | Current | Accepting new patients |
| Longs Peak Emergency Physicians, PC | Past | Accepting new patients | |
| Boulder Emergency Physicians PC | Past | Accepting new patients |
Locations
1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Denver, CO
- NPI 1336510577
-
- Emergency Medicine Physician
- Lafayette, CO
- NPI 1407454317
-
- Emergency Medicine Physician
- Longmont, CO
- NPI 1215910146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1952585879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2349 N LAFAYETTE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802055341",
"telephone_number": "303-525-6314",
"fax_number": "303-306-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 RIDGEGATE CENTER",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801249810",
"telephone_number": "720-225-1900",
"fax_number": "303-306-7753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANNIGAN",
"first_name": "WENDY",
"middle_name": "J.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-27",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "CO",
"license": "DR.0046454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90006739",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "MCBRIDE",
"middle_name": "J.",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.