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ROCKY MOUNTAIN PEDIATRIC GASTROENTEROLOGY
NPI 1699895755
Pediatrics - Pediatric Gastroenterology in Lone Tree, CO

Active since March 30, 2007CLIA 06D2047323 · Microscopy
10465 PARK MEADOWS DR STE 201, LONE TREE, CO 80124(303) 790-1515(303) 790-1989 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rocky Mountain Pediatric Gastroenterology NPPES

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

ROCKY MOUNTAIN PEDIATRIC GASTROENTEROLOGY (NPI 1699895755) is a healthcare organization registered as a pediatric gastroenterology in Lone Tree, Colorado and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through September 20, 2026 and lists Theodore H. Stathos, Authorized Official, President, as its authorized official.

NPPES Registry Identity

NPI1699895755
Entity TypeOrganization
Primary Taxonomy2080P0206X
Legal Business NameROCKY MOUNTAIN PEDIATRIC GASTROENTEROLOGY
Location Address10465 PARK MEADOWS DR STE 201Lone Tree, CO 80124-5321
Mailing Address10465 Park Meadows Dr Ste 201Lone Tree, CO 80124-5321 · (303) 790-1515 · Fax (303) 790-1989
Phone(303) 790-1515
Fax(303) 790-1989
Organization SubpartNo
Authorized OfficialTheodore H. StathosAuthorized Official, President · (303) 790-1515
Enumeration DateMarch 30, 2007
Last NPPES UpdateMarch 28, 2019
✔ NPI 1699895755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
10465 PARK MEADOWS DR STE 201, Lone Tree, CO 80124
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Other Identifiers 1

Medicaid04018362CO

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D2047323

Rocky Mountain Pediatric Gastroenterology And Gynecology · Lone Tree, CO
Active · expires Sep 20, 2026
CLIA Number06D2047323
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorDr. Theodore H. Stathos
Laboratory Phone(303) 790-1515
Laboratory LocationRocky Mountain Pediatric Gastroenterology And Gynecology10465 Park Meadows Drive Suite 201, Lone Tree, CO 80124
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

KATHRYN MARIE DRUDIK RDN
Dietitian, Registered
10465 PARK MEADOWS DR STE 201
LONE TREE, CO 80124
Douglas County (303) 790-1515
MACKENZIE BLAIR MONTAG PNP
Nurse Practitioner (Pediatrics)
10465 PARK MEADOWS DR STE 201
LONE TREE, CO 80124
Douglas County (303) 790-1515
OBSTETRIX MEDICAL GROUP OF COLORADO, PC
Pediatrics (Pediatric Gastroenterology)
10465 PARK MEADOWS DR STE 201
LONE TREE, CO 80124
Douglas County (303) 790-1515
DR. STEPHANIE MARIE WRIGHT D.O.
Obstetrics & Gynecology (Gynecology)
10465 PARK MEADOWS DR STE 201
LONE TREE, CO 80124
Douglas County (303) 790-1515

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 Rocky Mountain Pediatric Gastroenterology's NPI number?

The NPI number for Rocky Mountain Pediatric Gastroenterology is 1699895755. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Rocky Mountain Pediatric Gastroenterology located?

Rocky Mountain Pediatric Gastroenterology is located at 10465 Park Meadows Dr Ste 201, Lone Tree, CO 80124. The listed phone number is (303) 790-1515.

What is Rocky Mountain Pediatric Gastroenterology's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Does Rocky Mountain Pediatric Gastroenterology hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D2047323) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rocky Mountain Pediatric Gastroenterology was last updated on March 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.