Genie Roosevelt
MD | Pediatric Emergency Medicine | Female
Genie Roosevelt, MD is a Aurora, Colorado based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Genie Roosevelt is
13123 E 16th Ave, Aurora, Colorado - 80045-7106. She can be contacted on phone at
720-777-1234.
Genie Roosevelt is a sole proprietor of her business.
NPI number (Unique professional ID) for Genie Roosevelt is
1457436198 which was assigned by NPPES on 25 Oct, 2006 and it was last updated on 19 Mar, 2021.
Genie Roosevelt license number is
39854 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Colorado.
Genie Roosevelt has special qualifications to manage emergencies in infants and children.
Complete Profile:
Genie Roosevelt basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Pediatric Emergency Medicine |
---|
Provider Name : | Genie Roosevelt |
---|
Credential : | MD |
---|
Gender : | Female |
---|
Business Address:
Genie Roosevelt address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 13123 E 16th Ave Aurora, CO, 80045-7106 United States |
---|
Phone Number : | 720-777-1234 |
---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1457436198 |
---|
NPI Entity Type : | Individual |
---|
First Enrolment Date : | 25 Oct, 2006 |
---|
Last Updated On : | 19 Mar, 2021 |
---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Genie Roosevelt are as mentioned. Primary taxonomy code for Genie Roosevelt, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
Taxonomy Code | Speciality | Primary | License No. | State |
---|
2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 39854 | CO |
Legacy Identifiers:
Other legacy medical identifiers of Genie Roosevelt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
---|
23179732 | MEDICAID | CO | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
---|
DIRECT (Direct Messaging Address) | groosevelt5910@direct.dhha.org
| No affiliation | HIE Health Information Exchange (HIE)
| CSV CSV
| 777 BANNOCK ST, DENVER, CO, 80204-4507 United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | Po Box 876 Aurora, CO, 80040-0876 United States |
---|
Phone Number : | 303-493-7000 |
---|
Business Location:
Patients can refer following map for directions to
Genie Roosevelt practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.