Healthcare Provider Details

I. General information

NPI: 1104087931
Provider Name (Legal Business Name): PARTNERS IN PEDIATRICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 E FLORIDA AVE STE 300
DENVER CO
80210-2571
US

IV. Provider business mailing address

PO BOX 17982
BELFAST ME
04915-4074
US

V. Phone/Fax

Practice location:
  • Phone: 303-388-4256
  • Fax: 303-388-7802
Mailing address:
  • Phone: 303-796-4802
  • Fax: 303-996-0695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RACHAEL MONTGOMERY
Title or Position: BILLING DEPARTMENT SUPERVISOR
Credential:
Phone: 303-796-4802