Provider Demographics
NPI:1417117144
Name:DENVER NEPHROLOGISTS, PC
Entity Type:Organization
Organization Name:DENVER NEPHROLOGISTS, PC
Other - Org Name:COLORADO KIDNEY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:IRWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-327-4700
Mailing Address - Street 1:13901 E EXPOSITION AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2535
Mailing Address - Country:US
Mailing Address - Phone:303-327-4700
Mailing Address - Fax:303-327-4711
Practice Address - Street 1:3550 LUTHERAN PARKWAY, BUILDING 10
Practice Address - Street 2:SUITE 200
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033
Practice Address - Country:US
Practice Address - Phone:720-536-2100
Practice Address - Fax:720-536-2090
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENVER NEPHROLOGISTS, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-16
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC1108Medicare PIN