ROGER D. NOLAND NPI 1477608826

NPI Information

NPI: 1477608826
Provider Name: ROGER D. NOLAND

Doing Business As: PEDIATRIC ASSOCIATES OF CANON CITY

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1335 PHAY AVE
SUITE A
CANON CITY, CO
ZIP 81212
Phone: (719) 269-1727
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ROGER D. NOLAND is an adolescent medicine pediatrics in Canon City, 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. ROGER D. NOLAND NPI is 1477608826. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Associates Of Canon City.

The provider's business location address is:

1335 PHAY AVE
SUITE A
CANON CITY, CO
ZIP 81212-334
Phone: (719) 269-1727
Fax: (719) 269-1730

The provider's authorized official is Roger Deane Noland .
The authorized official title is Owner and has the following contact phone number (719) 269-1727.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 1/27/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05638655	MEDICAID	COLORADO

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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