Healthcare Provider Details

I. General information

NPI: 1851213359
Provider Name (Legal Business Name): PEDIATRIC ANESTHESIOLOGISTS OF COLORADO, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N GRANT ST # 7063
DENVER CO
80203-1859
US

IV. Provider business mailing address

1500 N GRANT ST # 7063
DENVER CO
80203-1859
US

V. Phone/Fax

Practice location:
  • Phone: 720-677-8200
  • Fax:
Mailing address:
  • Phone: 720-677-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KIMBERLY NGO
Title or Position: PHYSICIAN PARTNER
Credential: MD
Phone: 303-725-0268