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Contact Information

PEDIATRICS 5280, PC
2352 MEADOWS BLVD
SUITE 150
CASTLE ROCK, CO80109
 Phone: 303-779-5437
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRICS 5280, PC

NPI Number 1134545395
LBN Legal business name PEDIATRICS 5280, PC
Authorized official MIKE RIPPERTON - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2014
Last updated 03/12/2014 - About 12 years ago
Identifiers
CO Medicaid 04013280
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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