Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rocky Mountain Pediatric Gastroenterology

Organization Pediatric Gastroenterology Physician · NPI 1699895755

Rocky Mountain Pediatric Gastroenterology is a Pediatric Gastroenterology Physician in Lone Tree, Colorado. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

10465 Park Meadows Dr Ste 201
Lone Tree, CO 80124-5321
Phone: (303) 790-1515
Fax: (303) 790-1989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X

Record details

NPI number1699895755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Stathos — Authorized Official, President · (303) 790-1515
NPI enumeratedMarch 30, 2007
Last updated in NPPESMarch 28, 2019
Mailing address10465 Park Meadows Dr Ste 201, Lone Tree, CO 80124-5321

Other providers in Lone Tree