Healthcare Provider Details

I. General information

NPI: 1831792233
Provider Name (Legal Business Name): GREENWOOD PEDIATRICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2020
Last Update Date: 02/11/2022
Certification Date: 02/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8331 S CONTINENTAL DIVIDE RD
LITTLETON CO
80127-4231
US

IV. Provider business mailing address

9094 E MINERAL AVE SUITE 100
CENTENNIAL CO
80112-7200
US

V. Phone/Fax

Practice location:
  • Phone: 303-973-3200
  • Fax: 303-904-8510
Mailing address:
  • Phone: 303-694-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA BECKER
Title or Position: DIRECTOR OF BILLING
Credential:
Phone: 720-633-8580