Provider Demographics
NPI:1760468722
Name:AURORA PEDIATRIC ASSOCIATES, LLP
Entity Type:Organization
Organization Name:AURORA PEDIATRIC ASSOCIATES, LLP
Other - Org Name:ADVANCED PEDIATRIC ASSOCIATES, LLP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PEDIATRICIAN/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FREEMAN
Authorized Official - Middle Name:MILES
Authorized Official - Last Name:GINSBURG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-974-7149
Mailing Address - Street 1:3300 S PARKER RD STE 404
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3529
Mailing Address - Country:US
Mailing Address - Phone:720-974-7149
Mailing Address - Fax:720-974-7175
Practice Address - Street 1:5657 S HIMALAYA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-5307
Practice Address - Country:US
Practice Address - Phone:303-699-6200
Practice Address - Fax:720-460-4783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04008181Medicaid
CO04008181Medicaid