Provider Demographics
NPI:1093870297
Name:PEAK ORTHOPEDICS PLLC
Entity Type:Organization
Organization Name:PEAK ORTHOPEDICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:GREENHOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-699-7325
Mailing Address - Street 1:9777 S YOSEMITE ST
Mailing Address - Street 2:220
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-3191
Mailing Address - Country:US
Mailing Address - Phone:303-699-7325
Mailing Address - Fax:303-699-5486
Practice Address - Street 1:9777 S YOSEMITE ST
Practice Address - Street 2:220
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-3191
Practice Address - Country:US
Practice Address - Phone:303-699-7325
Practice Address - Fax:303-699-5486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO68207565Medicaid
CO804781Medicare ID - Type UnspecifiedMEDICARE GROUP ID
6254650001Medicare NSC