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MOUNTAIN BLUE CANCER CARE CENTER PC
NPI 1699009084
Internal Medicine - Hematology & Oncology in Englewood, CO

Active since October 01, 2009
3501 S CORONA ST STE 1, ENGLEWOOD, CO 80113(303) 999-6745(303) 586-2228 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 18, 2025, Apr 30, 2021, Nov 9, 2017 (3 updates tracked since 2017).

About Mountain Blue Cancer Care Center Pc NPPES

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

MOUNTAIN BLUE CANCER CARE CENTER PC (NPI 1699009084) is a healthcare organization registered as a hematology & oncology in Englewood, Colorado and active in the NPI registry since October 2009. The organization lists Samir E Witta, Owner, as its authorized official.

NPPES Registry Identity

NPI1699009084
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameMOUNTAIN BLUE CANCER CARE CENTER PC
Location Address3501 S CORONA ST STE 1Englewood, CO 80113-3907
Mailing Address3501 S Corona St Ste 1Englewood, CO 80113-3907 · (303) 999-6745 · Fax (303) 586-2228
Phone(303) 999-6745
Fax(303) 586-2228
Organization SubpartNo
Authorized OfficialSamir E WittaOwner · (303) 999-6745
Enumeration DateOctober 1, 2009
Last NPPES UpdateFebruary 18, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1699009084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in CO · 39764✔ Licensed in CO · CO39762
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

3501 S CORONA ST STE 1, Englewood, CO 80113
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Other Identifiers 1

Medicaid82076529CO

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MK HEALTHCARE PLLC
Nurse Practitioner
3501 S CORONA ST STE 1
ENGLEWOOD, CO 80113
Arapahoe County (720) 487-5628
SAMIR EZZELDIN WITTA MD PHD
Internal Medicine (Hematology & Oncology)
3501 S CORONA ST STE 1
ENGLEWOOD, CO 80113
Arapahoe County (303) 999-6745
MOUNTAIN BLUE CANCER CARE CENTER
Internal Medicine (Hematology & Oncology)
3501 S CORONA ST STE 1
ENGLEWOOD, CO 80113
Arapahoe County (303) 999-6745

Frequently Asked Questions

What is MOUNTAIN BLUE CANCER CARE CENTER PC's NPI number?

The NPI number assigned to this healthcare provider is 1699009084, enumerated as an "organization" on October 01, 2009.

Where is the provider located?

The provider is located at 3501 S CORONA ST STE 1 ENGLEWOOD, CO 80113 and the phone number is (303) 999-6745.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

What insurance does MOUNTAIN BLUE CANCER CARE CENTER PC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.