Cherry Creek Pediatrics, Pc

LBN: Cherry Creek Pediatrics, Pc
Cherry Creek Pediatrics, Pc is an health care organization with primary practice located at 4900 E Kentucky Ave , Denver CO 80246-2365. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Cherry Creek Pediatrics, Pc can be contacted via phone (303) 756-0101, or through Mathie, Jody L via phone (303) 756-0101.

Contact Information

Primary practice address
4900 E Kentucky Ave Denver CO 80246-2365
Phone: (303) 756-0101
Fax: (303) 756-1408
Website:
Map and Directions
Authorized official contact:
Name: Mathie, Jody L Doctor of Medicine (MD)
Phone: (303) 756-0101

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24963 Colorado

Profile Details

NPI number 1942265624
LBN Legal business name Cherry Creek Pediatrics, Pc
DBA Doing business as
Authorized official Mathie, Jody L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Aug 22nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942265624 NPPES
Colorado MEDICAID 54388074

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