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Organization

HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS FENDER (VP)
(303) 584-8111
Entity
Organization

Contact information

Practice address
2001 N HIGH ST, DENVER, CO 80205-5555
(720) 754-1000
(303) 861-6254
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
207Y00000X
Otolaryngology Physician
208000000X
Pediatrics Physician
Primary
2080P0202X
Pediatric Cardiology Physician
2080P0207X
Pediatric Hematology & Oncology Physician
2080P0208X
Pediatric Infectious Diseases Physician
2080P0210X
Pediatric Nephrology Physician
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
2086S0120X
Pediatric Surgery Physician
231H00000X
Audiologist
261Q00000X
Clinic/Center
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01026208
CO
05
04558367
CO
05
06653065
CO
05
17088372
CO
05
35958898
CO
05
37402552
CO
05
39831264
CO
05
65724089
NM
05
73801089
CO
05
78725259
CO
05
88150062
CO
05
91103355
CO
Enumeration date
05/10/2007
Last updated
11/24/2025
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