PREMIER OB-GYN PLLC NPI 1003057456

NPI Information

  • NPI: 1003057456
  • Provider Name: PREMIER OB-GYN PLLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 9195 GRANT ST
    SUITE 400
    THORNTON, CO
    ZIP 80229
  • Phone: (303) 854-3681

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NPI Details

PREMIER OB-GYN PLLC is an obstetrics gynecology in Thornton, CO. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PREMIER OB-GYN PLLC NPI is 1003057456. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9195 GRANT ST
SUITE 400
THORNTON, CO
ZIP 80229-385
Phone: (303) 854-3681
Fax: (303) 426-4154

The provider's authorized official is Stacey Hennesy .
The authorized official title is Md and has the following contact phone number (303) 854-3681.

The enumeration date for this NPI number is 3/16/2009 and was last updated on 1/29/2010.

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
1207V00000XObstetrics & Gynecology40865COLORADOYes

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
172507560MEDICAIDCOLORADO

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: 11/21/2025

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