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PEDIATRICS AT CHERRY CREEKLLC NPI 1194854406


NPI Information

NPI: 1194854406
Provider Name: PEDIATRICS AT CHERRY CREEK,LLC

Other Name: PEDIATRICS AT CHERRY CREEK

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 06D0513024

Address:
300 S JACKSON ST STE 300
DENVER, CO
ZIP 80209
Phone: (303) 377-9663
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PEDIATRICS AT CHERRY CREEK,LLC is a pediatrics in Denver, CO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRICS AT CHERRY CREEK,LLC NPI is 1194854406. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Pediatrics At Cherry Creek.

The provider's business location address is:

300 S JACKSON ST STE 300
DENVER, CO
ZIP 80209-134
Phone: (303) 377-9663

The provider's authorized official is Elisabeth Staerz .
The authorized official title is Owner and has the following contact phone number (303) 377-9663.

The CLIA number assigned to this NPI record is 06D0513024 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2007 and was last updated on 6/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics32058COLORADOYes
2261QP2300XClinic/CenterPrimary CareNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
148571555MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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