Provider Demographics
NPI:1477678092
Name:COLORADO PULMONARY ASSOCIATES, PC
Entity Type:Organization
Organization Name:COLORADO PULMONARY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, M.D.
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MDFCCP
Authorized Official - Phone:303-863-0300
Mailing Address - Street 1:1601 E. 19TH AVE
Mailing Address - Street 2:SUITE 3100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1239
Mailing Address - Country:US
Mailing Address - Phone:303-863-0300
Mailing Address - Fax:303-863-7014
Practice Address - Street 1:1601 E. 19TH AVE
Practice Address - Street 2:SUITE 3100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1239
Practice Address - Country:US
Practice Address - Phone:303-863-0300
Practice Address - Fax:303-863-7014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04012134Medicaid
CO04012134Medicaid