Provider Demographics
NPI:1770754004
Name:DENVER NEPHROLOGISTS, PC
Entity type:Organization
Organization Name:DENVER NEPHROLOGISTS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:IRWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-327-4700
Mailing Address - Street 1:130 RAMPART WAY
Mailing Address - Street 2:SUITE 300B
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6051
Mailing Address - Country:US
Mailing Address - Phone:303-327-4700
Mailing Address - Fax:303-327-4711
Practice Address - Street 1:1411 S POTOMAC STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4536
Practice Address - Country:US
Practice Address - Phone:303-755-7681
Practice Address - Fax:303-755-9167
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENVER NEPHROLOGISTS, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-14
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO05274737Medicaid
CT0364OtherRAIROAD MEDICARE