OBSTETRIX MEDICAL GROUP OF COLORADO P.C. NPI 1801410089

NPI Information

NPI: 1801410089
Provider Name: OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.

Doing Business As: RICKY MOUNTAIN PEDIATRIC CARDIOLOGY

Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
1905 BLAKE AVE STE 201
GLENWOOD SPRINGS, CO
ZIP 81601
Phone: (303) 860-9933
Get Directions

OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. is a pediatric cardiology pediatrics in Glenwood Springs, CO. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. NPI is 1801410089. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ricky Mountain Pediatric Cardiology.

The provider's business location address is:

1905 BLAKE AVE STE 201
GLENWOOD SPRINGS, CO
ZIP 81601-286
Phone: (303) 860-9933

The provider's authorized official is Kevin Pitzer .
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 6/3/2020 and was last updated on 11/3/2023.

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	Primary
1	2080P0208X	Pediatrics	Pediatric Infectious Diseases	No
2	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
4	208000000X	Pediatrics		No
5	2080P0008X	Pediatrics	Neurodevelopmental Disabilities	No
6	2080P0205X	Pediatrics	Pediatric Endocrinology	No
7	2080P0202X	Pediatrics	Pediatric Cardiology	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	9000178140	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

NPI Synchronization or Removal

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