1346259231 NPI number — DR. NICOLE F EINHORN MD

Table of content: DR. NICOLE F EINHORN MD (NPI 1346259231)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346259231 NPI number — DR. NICOLE F EINHORN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EINHORN
Provider First Name:
NICOLE
Provider Middle Name:
F
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346259231
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/10/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7350 E PROGRESS PL
Provider Second Line Business Mailing Address:
STE 201
Provider Business Mailing Address City Name:
GREENWOOD VILLAGE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80111-2135
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-282-4707
Provider Business Mailing Address Fax Number:
303-539-7467

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7350 E PROGRESS PL
Provider Second Line Business Practice Location Address:
STE 201
Provider Business Practice Location Address City Name:
GREENWOOD VILLAGE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80111-2135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-282-4707
Provider Business Practice Location Address Fax Number:
303-539-4767
Provider Enumeration Date:
08/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  01053132A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200135850A . This is a "MEDICAID GROUP" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 901167 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000092092 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 874640 . This is a "MEDICARE GROUP" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 90000692 . This is a "BCIL GROUP NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000104771 . This is a "ANTHEM GROUP" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 5250556 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: CI3318 . This is a "RRMEDICARE GROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1603526 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 200282110A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 36093064 , issued by the state of ( IL ) . This identifiers is of the category "MEDICAID".




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