1013800705 NPI number — SUMMIT RHEUMATOLOGY AND ARTHRITIS -COLORADO PLLC

Table of content: (NPI 1013800705)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013800705 NPI number — SUMMIT RHEUMATOLOGY AND ARTHRITIS -COLORADO PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SUMMIT RHEUMATOLOGY AND ARTHRITIS -COLORADO PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013800705
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/31/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2451 E BASELINE RD STE 450
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GILBERT
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85234-2473
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
991 SOUTHPARK DR STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LITTLETON
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80120-5688
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-886-6704
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/31/2025

Additional Information

Authorized Official

Authorized Official Last Name:
PANICO
Authorized Official First Name:
BRITTANY
Authorized Official Middle Name:
SUMMER
Authorized Official Title or Position:
OWNER/SIGNER
Authorized Official Telephone Number:
480-494-2770

Provider Taxonomy Codes

  • Taxonomy code: 207RR0500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com