Provider Type Icon

PEDIATRIC AND ADOLESCENT CENTER NPI 1235353087


NPI Information

NPI: 1235353087
Provider Name: PEDIATRIC AND ADOLESCENT CENTER
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
3400 S ONEIDA WAY
SUITE 101
DENVER, CO
ZIP 80224
Phone: (303) 758-0005
Get Directions

PEDIATRIC AND ADOLESCENT CENTER is an adolescent medicine pediatrics in Denver, CO. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PEDIATRIC AND ADOLESCENT CENTER NPI is 1235353087. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3400 S ONEIDA WAY
SUITE 101
DENVER, CO
ZIP 80224-850
Phone: (303) 758-0005
Fax: (303) 756-8077

The provider's authorized official is Philip L Lewis .
The authorized official title is Owner and has the following contact phone number (303) 758-0005.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 6/25/2008.


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
12080A0000XPediatricsAdolescent Medicine12100COLORADOYes

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
199173824MEDICAIDCOLORADO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.