1437181781 NPI number — DR ROGER A HULME OD PC

Table of content: (NPI 1437181781)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437181781 NPI number — DR ROGER A HULME OD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR ROGER A HULME OD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1437181781
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3850 GRANT AVE STE 130
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOVELAND
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80538-8431
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-667-5511
Provider Business Mailing Address Fax Number:
970-292-5213

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2677 N TAFT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOVELAND
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-667-5511
Provider Business Practice Location Address Fax Number:
970-292-5213
Provider Enumeration Date:
07/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HULME
Authorized Official First Name:
ROGER
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
970-667-5511

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  1220 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 001951048 . This is a "HIGHMARK BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 906772 . This is a "BLOCK VISION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 906772107603 . This is a "EYE SPECIALISTS" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 4534960 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 649971 . This is a "ANTHEM" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 693852 . This is a "COVENTRY HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1220 . This is a "STATE LICENSE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 1528036829 . This is a "NPI TYPE 1" identifier . This identifiers is of the category "OTHER".
  • Identifier: 410038740 . This is a "RAIL ROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 693901 . This is a "MEDICARE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 99893 . This is a "WELLMARK BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3633036 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: HU41113 . This is a "ANTHEM" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




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