Basic Information
| Provider Information | |||||||||
| NPI: | 1265176358 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DENVER NEPHROLOGISTS, PC | ||||||||
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| OtherOrganizationName: | COLORADO KIDNEY CARE VASCULAR SURGERY CENTER, ASC | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 PARKWAY NORTH BLVD STE 200S | ||||||||
| Address2: | |||||||||
| City: | DEERFIELD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600152532 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8473882064 | ||||||||
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| Practice Location | |||||||||
| Address1: | 13901 E EXPOSITION AVE STE 100 | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800122536 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033434244 | ||||||||
| FaxNumber: | 3033437565 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2022 | ||||||||
| LastUpdateDate: | 06/09/2022 | ||||||||
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| AuthorizedOfficialLastName: | IRWIN | ||||||||
| AuthorizedOfficialFirstName: | ELIZABETH | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR OF OPERATIONS | ||||||||
| AuthorizedOfficialTelephone: | 7203431550 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 06/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
No ID Information.