Active NPI
Obstetrix Medical Group of Colorado, P.C.
- Maternal & Fetal Medicine Physician
- Casper, WY
National Provider Identifier
1952925240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- Legal business name
- OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.
- Practice address
- 6350 E 2ND St
Casper, WY 82609-4264 - Phone
- (303) 860-9990
- NPI assigned
- Jun 2, 2020
- Last updated
- Jun 10, 2024
- 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
- Linda Chen
- Title
- Assistant Secretary
- Phone
- (800) 243-3839
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | Primary |
Addresses
Primary practice location
6350 E 2ND St
Casper, WY 82609-4264
Mailing address
4722 N 24TH St Ste 150
Phoenix, AZ 85016-4860
Phone (877) 737-4546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000163709 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- Obstetrix Medical Group of Colorado PC
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Maternal & Fetal Medicine Physician
- Casper, WY
- NPI 1780208082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717977600000",
"number": "1952925240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4722 N 24TH ST STE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164860",
"telephone_number": "877-737-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 E 2ND ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826094264",
"telephone_number": "303-860-9990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-02",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "800-243-3839"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000163709",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.