Pediatric Associates of Canon City, Prof. LLC
NPI 1457498131 · Pediatric Adolescent Medicine Physician · Canon City, CO
Pediatric Associates of Canon City, Prof. LLC is a Pediatric Adolescent Medicine Physician organization in Canon City, CO (NPI 1457498131).
Provider details
- NPI number
- 1457498131
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roger Noland, General Manager(719) 269-1727
- License
- 23117 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pediatric Associates of Canon City, Prof. LLC's NPI number?
- Pediatric Associates of Canon City, Prof. LLC's National Provider Identifier (NPI) is 1457498131, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Associates of Canon City, Prof. LLC?
- Pediatric Associates of Canon City, Prof. LLC is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pediatric Associates of Canon City, Prof. LLC located?
- Pediatric Associates of Canon City, Prof. LLC's practice location on file with NPPES is 1335 Phay Ave, Canon City, CO 81212-2334.
- What is Pediatric Associates of Canon City, Prof. LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Associates of Canon City, Prof. LLC is (719) 269-1727.
- Who is the authorized official for Pediatric Associates of Canon City, Prof. LLC?
- The authorized official listed on Pediatric Associates of Canon City, Prof. LLC's NPPES record is Roger Noland, General Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Associates of Canon City, Prof. LLC's NPI active?
- Yes — Pediatric Associates of Canon City, Prof. LLC's NPI (1457498131) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.