MEDICARE: NORTHSTAR PULMONARY CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063419984
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHSTAR PULMONARY CARE, LLC

Provider Business Mailing Address
First Line	:	7717 W 6TH AVE
Second Line	:	STE A
City	:	LAKEWOOD
State	:	CO
Zip	:	80214-6401
Country	:	US
Telephone Number	:	303-205-0202
Fax Number	:	303-205-0303

Provider Business Practice Location Address
First Line	:	7717 W 6TH AVE
Second Line	:	STE A
City	:	LAKEWOOD
State	:	CO
Zip	:	80214-6401
Country	:	US
Telephone Number	:	303-205-0202
Fax Number	:	303-205-0303

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	ANNETTE EDGAR
Credential	:	CFO
Telephone Number	:	303-205-0202

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/21/2022

Similar Medicare Providers

1174835011 — TANYA N PRETE CCLS
Practice Location Address:

7323 BLACK WALNUT WAY
LAKEWOOD RANCH, FL
34202-6401

Practice Phone: 941-284-4734
Practice Fax:

1538472519 — SEEK CHILDLIFE
Practice Location Address:

7323 BLACK WALNUT WAY
LAKEWOOD RANCH, FL
34202-6401

Practice Phone: 941-284-4734
Practice Fax:

1336073261 — SIANA ORTIZ RN
Practice Location Address:

7205 W COLFAX AVE STE 101D
LAKEWOOD, CO
80214-5408

Practice Phone: 720-685-6250
Practice Fax: 720-512-2141

1679940324 — KINGSTON DIALYSIS LLC
Practice Location Address:

1750 PIERCE ST STE C
LAKEWOOD, CO
80214-1434

Practice Phone: 303-238-6111
Practice Fax: 303-462-0946

1083548036 — EMILY REUTHER PT,DPT
Practice Location Address:

1630 CARR ST
LAKEWOOD, CO
80214-5985

Practice Phone: 720-441-2000
Practice Fax:

1609708692 — CATHERINE MARX MSW, LCSW, LAC
Practice Location Address:

1651 KENDALL ST
LAKEWOOD, CO
80214-1412

Practice Phone: 720-926-7835
Practice Fax:

Directions to “NORTHSTAR PULMONARY CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.