Provider Demographics
NPI:1972573541
Name:MIDTOWN OBSTETRICS AND GYNECOLOGY, P.C.
Entity type:Organization
Organization Name:MIDTOWN OBSTETRICS AND GYNECOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-321-2166
Mailing Address - Street 1:4600 E 9TH AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4069
Mailing Address - Country:US
Mailing Address - Phone:303-321-2166
Mailing Address - Fax:303-861-7211
Practice Address - Street 1:4600 E 9TH AVE STE 350
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4069
Practice Address - Country:US
Practice Address - Phone:303-321-2166
Practice Address - Fax:303-861-7211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-25
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO830926Medicaid
COC61704Medicare PIN