Provider Demographics
NPI:1437732377
Name:ROCKY MOUNTAIN INFECTIOUS DISEASE SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN INFECTIOUS DISEASE SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:NEID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-750-1800
Mailing Address - Street 1:1550 S POTOMAC ST STE 270
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5456
Mailing Address - Country:US
Mailing Address - Phone:303-750-1800
Mailing Address - Fax:
Practice Address - Street 1:10099 RIDGEGATE PKWY STE 370
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5535
Practice Address - Country:US
Practice Address - Phone:303-799-7372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO02389771Medicaid