1114918018 NPI number — AURORA DENVER CARDIOLOGY ASSOCIATES PC

Table of content: DR. EDWARD BERT SELDIN DMD MD (NPI 1316938202)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114918018 NPI number — AURORA DENVER CARDIOLOGY ASSOCIATES PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AURORA DENVER CARDIOLOGY ASSOCIATES 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:
1114918018
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/18/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 848601
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02284-8601
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-295-8713
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1444 S POTOMAC ST
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80012-4508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-750-0822
Provider Business Practice Location Address Fax Number:
303-750-1298
Provider Enumeration Date:
10/31/2005

Additional Information

Authorized Official

Authorized Official Last Name:
SCHMIDT
Authorized Official First Name:
TIM
Authorized Official Middle Name:
Authorized Official Title or Position:
CHEIF FINANCIAL OFFICER
Authorized Official Telephone Number:
303-295-8722

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , 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: 04716049 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com