PEDIATRIC ASSOCIATES OF CANON CITY, PROF. LLC - NPI 1457498131

Q: What is Pediatric Associates Of Canon City, Prof. LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

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About Pediatric Associates Of Canon City, Prof. Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC ASSOCIATES OF CANON CITY, PROF. LLC (NPI 1457498131) is a healthcare organization registered as an adolescent medicine in Canon City, Colorado and active in the NPI registry since January 2007. The organization lists Roger Deane Noland, General Manager, as its authorized official.

NPPES Registry Identity

NPI1457498131

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NamePEDIATRIC ASSOCIATES OF CANON CITY, PROF. LLC

Location Address1335 PHAY AVE, SUITE ACanon City, CO 81212-2334

Mailing Address1335 Phay Ave, Suite ACanon City, CO 81212-2334 · (719) 269-1727 · Fax (719) 269-1730

Phone(719) 269-1727

Fax(719) 269-1730

Organization SubpartNo

Authorized OfficialRoger Deane NolandGeneral Manager · (719) 269-1727

Enumeration DateJanuary 31, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1457498131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in CO · 23117

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

1335 PHAY AVE, Canon City, CO 81212

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Other Identifiers 2

Medicaid01271139CO

Medicaid05638655CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHEYENNE FOOT & ANKLE INC

Podiatrist (Primary Podiatric Medicine)

1335 PHAY AVE, SUITE D
CANON CITY, CO 81212

Fremont County (719) 275-1037

COUNSELING HEARTS, PLLC

Counselor (Mental Health)

1335 PHAY AVE
CANON CITY, CO 81212

Fremont County (719) 618-8797

RIVER VALLEY PEDIATRICS, PC

Pediatrics

1335 PHAY AVE
CANON CITY, CO 81212

Fremont County (719) 276-2222

KATHLEEN S MORLOCK M.ED

Counselor (Mental Health)

1335 PHAY AVE, SUITE E
CANON CITY, CO 81212

Fremont County (719) 269-7608

MR. RAYMOND J PELLAND PA-C

Physician Assistant

1335 PHAY AVE, STE D
CANON CITY, CO 81212

Fremont County (719) 269-8820

TERRI L. GORMAN L.C.S.W.

Counselor (Professional)

1335 PHAY AVE, SUITE H
CANON CITY, CO 81212

Fremont County (719) 784-7522

COUNSELING HEARTS

Counselor (Mental Health)

1335 PHAY AVE
CANON CITY, CO 81212

Fremont County (719) 371-8106

ACCENT ON LIFE, LLC

Community/Behavioral Health

1335 PHAY AVE, SUITE H
CANON CITY, CO 81212

Fremont County (719) 784-7522

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Associates Of Canon City, Prof. LLC's NPI number?

The NPI number for Pediatric Associates Of Canon City, Prof. LLC is 1457498131. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Pediatric Associates Of Canon City, Prof. LLC located?

Pediatric Associates Of Canon City, Prof. LLC is located at 1335 Phay Ave Suite A, Canon City, CO 81212. The listed phone number is (719) 269-1727.

What is Pediatric Associates Of Canon City, Prof. LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Pediatric Associates Of Canon City, Prof. LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.