Provider Demographics
NPI:1134347404
Name:PINNACLE WOMEN'S HEALTHCARE, PC
Entity type:Organization
Organization Name:PINNACLE WOMEN'S HEALTHCARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:O
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-695-4800
Mailing Address - Street 1:1411 SOUTH POTOMAC STREET SUITE 450
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4544
Mailing Address - Country:US
Mailing Address - Phone:303-695-4800
Mailing Address - Fax:303-695-4821
Practice Address - Street 1:1411 SOUTH POTOMAC STREET SUITE 450
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4544
Practice Address - Country:US
Practice Address - Phone:303-695-4800
Practice Address - Fax:303-695-4821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04008835Medicaid
CO04008835Medicaid