Provider Demographics
NPI:1164195921
Name:ALISON AUSTER MD PLLC
Entity Type:Organization
Organization Name:ALISON AUSTER MD PLLC
Other - Org Name:PRAIRIE PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-734-8816
Mailing Address - Street 1:5680 N TOWER RD STE 120
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-8024
Mailing Address - Country:US
Mailing Address - Phone:720-734-8816
Mailing Address - Fax:720-405-4454
Practice Address - Street 1:5680 N TOWER RD STE 120
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-8024
Practice Address - Country:US
Practice Address - Phone:720-734-8816
Practice Address - Fax:720-405-4454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO23280743Medicaid