Rocky Mountain Pediatric Gastroenterology
LBN: Rocky Mountain Pediatric Gastroenterology
Rocky Mountain Pediatric Gastroenterology is an health care organization with primary practice located at 10465 Park Meadows Dr Ste 201 , Lone Tree CO 80124-5321. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as the primary health care specialty.
Rocky Mountain Pediatric Gastroenterology can be contacted via phone (303) 790-1515, or through Stathos, Theodore H. via phone (303) 790-1515.
Contact Information
Primary practice address
10465 Park Meadows Dr Ste 201
Lone Tree CO 80124-5321
Phone: (303) 790-1515
Fax: (303) 790-1989
Website:
Authorized official contact:
Name: Stathos, Theodore H. Doctor of Medicine (MD)
Phone: (303) 790-1515
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X |
Profile Details
| NPI number | 1699895755 |
|---|---|
| LBN Legal business name | Rocky Mountain Pediatric Gastroenterology |
| DBA Doing business as | |
| Authorized official | Stathos, Theodore H. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Mar 28th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699895755 | NPPES |
| Colorado | MEDICAID | 04018362 |
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