Healthcare Provider Details

I. General information

NPI: 1033135520
Provider Name (Legal Business Name): CRITICAL CARE & PULMONARY CONSULTANTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 E BELLEVIEW AVE STE G10
GREENWOOD VILLAGE CO
80111-1634
US

IV. Provider business mailing address

7100 E BELLEVIEW AVE STE G10
GREENWOOD VILLAGE CO
80111-1634
US

V. Phone/Fax

Practice location:
  • Phone: 303-745-0000
  • Fax: 303-773-3675
Mailing address:
  • Phone: 303-745-0000
  • Fax: 303-773-3675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: CATHLEEN FERGUSON
Title or Position: DELEGATE
Credential:
Phone: 303-745-0000