Provider Demographics
NPI:1134185721
Name:OB-GYN AFFILIATES
Entity type:Organization
Organization Name:OB-GYN AFFILIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HRUBESKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-344-4915
Mailing Address - Street 1:1745 SHEA CENTER DR
Mailing Address - Street 2:#400
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80129-1537
Mailing Address - Country:US
Mailing Address - Phone:720-344-4915
Mailing Address - Fax:303-678-0823
Practice Address - Street 1:1745 SHEA CENTER DR
Practice Address - Street 2:#400
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80129-1537
Practice Address - Country:US
Practice Address - Phone:720-344-4915
Practice Address - Fax:303-678-0823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCJ9201OtherMEDICARE RAILROAD
COCJ9201OtherMEDICARE RAILROAD
CO46271546Medicaid