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PEDIATRIX MEDICAL GROUP OF COLORADO P.C. NPI 1164656120


NPI Information

NPI: 1164656120
Provider Name: PEDIATRIX MEDICAL GROUP OF COLORADO, P.C.
Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
1400 E BOULDER ST
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 447-8812
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PEDIATRIX MEDICAL GROUP OF COLORADO, P.C. is a neonatal-perinatal medicine pediatrics in Colorado Springs, CO. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. PEDIATRIX MEDICAL GROUP OF COLORADO, P.C. NPI is 1164656120. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 E BOULDER ST
COLORADO SPRINGS, CO
ZIP 80909-533
Phone: (719) 447-8812
Fax: (719) 447-8987

The provider's authorized official is Meredith Longsworth .
The authorized official title is Assistant Secretary and has the following contact phone number (800) 243-3839.

The enumeration date for this NPI number is 5/6/2009 and was last updated on 7/9/2021.


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
12080N0001XPediatricsNeonatal-Perinatal MedicineYes
22080P0203XPediatricsPediatric Critical Care MedicineNo
3363LN0000XNurse PractitionerNeonatalNo

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
133353255MEDICAIDCOLORADO

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: 11/14/2023

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