Provider Demographics
NPI:1790383883
Name:AURORA PEDIATRIC ASSOCIATES, LLP
Entity Type:Organization
Organization Name:AURORA PEDIATRIC ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:B
Authorized Official - Last Name:AUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-699-6200
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:303-699-6200
Mailing Address - Fax:303-974-7175
Practice Address - Street 1:5657 S HIMALAYA ST STE 100
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-5308
Practice Address - Country:US
Practice Address - Phone:303-699-6200
Practice Address - Fax:303-974-7175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000147517Medicaid