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PEAK PEDIATRICS PLLC NPI 1952471971


NPI Information

NPI: 1952471971
Provider Name: PEAK PEDIATRICS PLLC

Doing Business As: PEAK PEDIATRICS

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 06D2073551

Address:
3555 LUTHERAN PKWY STE 340
WHEAT RIDGE, CO
ZIP 80033
Phone: (303) 996-6005
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PEAK PEDIATRICS PLLC is a clinic center in Wheat Ridge, CO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PEAK PEDIATRICS PLLC NPI is 1952471971. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Peak Pediatrics.

The provider's business location address is:

3555 LUTHERAN PKWY STE 340
WHEAT RIDGE, CO
ZIP 80033-039
Phone: (303) 996-6005
Fax: (303) 420-8831

The provider's authorized official is Melissa Ann Herrmann .
The authorized official title is Billing Manager and has the following contact phone number (303) 996-6005.

The CLIA number assigned to this NPI record is 06D2073551 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 7/21/2022.


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
1208000000XPediatricsCOLORADONo
2261Q00000XClinic/CenterYes

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
162657763MEDICAIDCOLORADO
29000105583MEDICAIDCOLORADO

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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