Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679953640 Individual Practitioner Female Practitioner

Dr. Mary Frances Macleod-Oguntuase , DO

Pediatrics • Greeley, CO

Professional Overview & Biography Verified Profile Summary

Dr. Mary Macleod-Oguntuase, DO is a registered healthcare professional specializing in Pediatrics in Greeley, CO. Practice services are available at 1801 16TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1801 16th St

Greeley, CO 806315154

Telephone 9708104121
Associated Practice Facility / Clinic
🏢 North Colorado Medical Center Facility NPI 1346290699

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Greeley, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.7 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
20 Specialists

Practicing in Greeley, CO (1195 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-01
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CO DR.0063133

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MI 5101021903

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9000184960 (CO)
Commercial Insurance / Payer ID Kaiser Commercial Number
029484 (CO)

Secondary Practice Locations

10350 E Dakota Ave

Denver, CO 802471314

Phone: 3033384545

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kaitlyn Runnels , RN

Nurse Practitioner - Neonatal

NPI 1013573997

Registered Nurse

Chelsey Darnall , PA-C

Physician Assistant

NPI 1043947062

Physician Assistant (Certified)

Chrystal Hockaday , RN, NNP-BC

Nurse Practitioner - Neonatal

NPI 1073985313

Registered Nurse, NNPBC

Dr. David Braak , MD

Family Medicine

NPI 1104402205

Doctor of Medicine (M.D.)

Dr. Kane Smith , DO

Anesthesiology

NPI 1104404912

Doctor of Osteopathic Medicine (D.O.)

Dr. Nicholas Sakala , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1124881081

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location March 25, 2022

Registered at 1801 16TH ST, GREELEY, CO 806315154 (Tel: 9708104121)

📍
Updated Business Mailing Address March 25, 2022

Registered at 1801 16TH ST, GREELEY, CO 806315154

👤
Provider Name / Credentials Updated March 25, 2022

Recorded as MARY MACLEOD-OGUNTUASE, D.O.

📍
Updated Practice Location June 26, 2018

Registered at 6900 ALDEN DR, FE WARREN AFB, WY 82005 (Tel: 3077733461)

📍
Updated Business Mailing Address June 26, 2018

Registered at 6900 ALDEN DR, FE WARREN AFB, WY 820053906

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2018

Pediatrics (License #5101021903 in MI)

NPI Profile Active June 04, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2015

Registered at 22201 MOROSS RD, PB2 SUITE 70, DETROIT, MI 482362169 (Tel: 3133433800)

📍
Updated Business Mailing Address June 04, 2015

Registered at 22201 MOROSS RD, PB2 SUITE 70, DETROIT, MI 482362169 (Tel: 3133433800)

👤
Provider Name / Credentials Updated June 04, 2015

Recorded as MARY MACLEOD, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2015

Student in an Organized Health Care Education/Training Program (License #5101021913 in MI)

🟢
Initial NPI Registration & Enumeration June 04, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1679953640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2015
Last Update: December 01, 2023
Sole Proprietor: Yes

Mailing Address

1801 16th St

Greeley, CO 806315154

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.