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CHERRY CREEK PEDIATRICS PC NPI 1942265624


NPI Information

NPI: 1942265624
Provider Name: CHERRY CREEK PEDIATRICS, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 06D2034757

Address:
4900 E KENTUCKY AVE
DENVER, CO
ZIP 80246
Phone: (303) 756-0101
Get Directions

CHERRY CREEK PEDIATRICS, PC 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. CHERRY CREEK PEDIATRICS, PC NPI is 1942265624. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4900 E KENTUCKY AVE
DENVER, CO
ZIP 80246-365
Phone: (303) 756-0101
Fax: (303) 756-1408

The provider's authorized official is Jody L Mathie .
The authorized official title is Owner/physician and has the following contact phone number (303) 756-0101.

The CLIA number assigned to this NPI record is 06D2034757 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 8/22/2020.


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
1208000000XPediatrics24963COLORADOYes

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
154388074MEDICAIDCOLORADO

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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