Healthcare Provider Details

I. General information

NPI: 1326436353
Provider Name (Legal Business Name): CPR ANESTHESIA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2014
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 S JAMAICA CT STE 140
AURORA CO
80014-4601
US

IV. Provider business mailing address

3000 S JAMAICA CT STE 140
AURORA CO
80014-4601
US

V. Phone/Fax

Practice location:
  • Phone: 303-755-3201
  • Fax: 303-755-3204
Mailing address:
  • Phone: 720-231-3233
  • Fax: 303-755-3204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMI E GRUBE
Title or Position: CFO
Credential:
Phone: 720-231-3233