NPI 1003175696 · Obstetrics & Gynecology · Anthem
Strong multi-source corroboration of active practice across 9 carrier networks with confirmed Colorado DORA license.
NPPES
CASTLE ROCK, 80109
Freshness: Aging (last updated 2024-04-17)
688 days since update
Network Status
Listed with 9 carriers
DORA License
Active
Medicare
42 services
20 beneficiaries
$2,614.6 total payment
Specialty: Obstetrics & Gynecology
Care Compare
Address mismatch with NPPES
Active NPI with specialty classification
Active Colorado DORA license confirmed
Active Medicare billing confirmed
Single address source (NPPES)
Listed in multiple carrier networks
9 networks across 4 carriers
Strong network presence across 9 carrier networks with corroborating federal activity signals.
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.
PECOS Enrollment
Medicare enrolled
Order/Referring eligible: Yes
Showing 20 of 21 evidence events.