Evergreen Pediatrics, Llc in Evergreen - Pediatrics
Evergreen Pediatrics, Llc - NPI 1689839144
Evergreen Pediatrics, Llc is a Pediatrics in Evergreen, Colorado. Evergreen Pediatrics, Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Evergreen Pediatrics, Llc is 1689839144. The last update date is 2008-07-24.
Evergreen Pediatrics, Llc's current location address is 30960 Stagecoach Blvd, Evergreen, Colorado. You can contact this provider via phone number 3036746671 and fax number 3036740031. The mailing address for Evergreen Pediatrics, Llc is 30960 Stagecoach Blvd, Evergreen, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Pediatrics, Llc |
|---|---|
| Address | 30960 Stagecoach Blvd, Evergreen, Colorado |
| Phone Number | 3036746671 |
| Fax Number | 3036740031 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kutalek John Kenneth |
| Credentials | M.D. |
| Telephone Number | 3036746671 |
NPI Number Detail
| NPI Number | 1689839144 |
|---|---|
| Provider Enumeration Date | 2008-07-24 |
| Last Updated Date | 2008-07-24 |
Provider Mailing Address Detail
| Address | 30960 Stagecoach Blvd |
|---|---|
| City | Evergreen |
| State | Colorado (CO) |
| Post Code | 804397902 |
| Phone Number | 3036746671 |
| Fax Number | 3036740031 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 26133 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1261338 | CO | -- | |
| 4007977 | CO | -- | |
| 40308332 | CO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Evergreen Pediatrics, Llc by the Centers for Medicare & Medicaid Services?
The Evergreen Pediatrics, Llc has been issued the NPI (National Provider Identifier) 1689839144. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Evergreen Pediatrics, Llc?
The Evergreen Pediatrics, Llc is physically situated at 30960 Stagecoach Blvd, in the city of Evergreen, state of CO, with the postal code 804397902.
What is the Evergreen Pediatrics, Llc's specialty and taxonomy code?
The Evergreen Pediatrics, Llc's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
When did Evergreen Pediatrics, Llc receive its 1689839144 assignment?
The Evergreen Pediatrics, Llc was assigned its 1689839144 on 2008-07-24, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Evergreen Pediatrics, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Evergreen Pediatrics, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-24.
NPI Number: 1639172810
Address: 850 N Harrison St, Warsaw, IN
NPI Number: 1063417483
Address: P.o. Box 12493, Miami, FL
NPI Number: 1578561049
Address: 1 Reading Drive, Wernesville, PA
NPI Number: 1821097767
Address: Po Box 1559, Bartow, FL