Healthcare Provider Details

I. General information

NPI: 1760468722
Provider Name (Legal Business Name): AURORA PEDIATRIC ASSOCIATES, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5657 S HIMALAYA ST SUITE 100
CENTENNIAL CO
80015-5307
US

IV. Provider business mailing address

3300 S PARKER RD STE 404
AURORA CO
80014-3529
US

V. Phone/Fax

Practice location:
  • Phone: 303-699-6200
  • Fax: 720-460-4783
Mailing address:
  • Phone: 720-974-7149
  • Fax: 720-974-7175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FREEMAN MILES GINSBURG
Title or Position: PEDIATRICIAN/PARTNER
Credential: M.D.
Phone: 720-974-7149