Provider Demographics
NPI:1508957242
Name:OBSTETRIX MEDICAL GROUP OF CO
Entity Type:Organization
Organization Name:OBSTETRIX MEDICAL GROUP OF CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:MCCABE
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:303-860-9990
Mailing Address - Street 1:15382 W 73RD PL
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80007-7866
Mailing Address - Country:US
Mailing Address - Phone:303-422-3094
Mailing Address - Fax:
Practice Address - Street 1:15382 W 73RD PL
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80007-7866
Practice Address - Country:US
Practice Address - Phone:303-422-3094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO66932363LP1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP1700XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPerinatalGroup - Single Specialty