MEDICARE: AURORA PEDIATRIC ASSOCIATES, LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	44225	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558764407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURORA PEDIATRIC ASSOCIATES, LLP

Provider Business Mailing Address
First Line	:	3300 S PARKER RD
Second Line	:	SUITE 404
City	:	AURORA
State	:	CO
Zip	:	80014-3518
Country	:	US
Telephone Number	:	303-699-6200
Fax Number	:	720-974-7175

Provider Business Practice Location Address
First Line	:	1300 S POTOMAC ST
Second Line	:	SUITE 156
City	:	AURORA
State	:	CO
Zip	:	80012-6166
Country	:	US
Telephone Number	:	303-699-6200
Fax Number	:	720-974-7175

Authorized Official
Title or Position	:	PARTNER
Name	:	MICHAEL KURTZ
Credential	:	MD
Telephone Number	:	303-699-6200

Provider Enumeration Date	:	10/07/2014
Last Update Date	:	06/20/2016

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