Provider Demographics
NPI:1033223417
Name:WESTERN ORTHOPAEDICS, P.C.
Entity Type:Organization
Organization Name:WESTERN ORTHOPAEDICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:SULESKI
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:303-321-1333
Mailing Address - Street 1:1830 FRANKLIN ST
Mailing Address - Street 2:SUITE 450
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1128
Mailing Address - Country:US
Mailing Address - Phone:303-321-1333
Mailing Address - Fax:303-321-0620
Practice Address - Street 1:1830 FRANKLIN ST
Practice Address - Street 2:SUITE 450
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1128
Practice Address - Country:US
Practice Address - Phone:303-321-1333
Practice Address - Fax:303-321-0620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCS8397OtherRR MEDICARE PIN
KS100212480BMedicaid
KSDE7407OtherRR MEDICARE PIN
CO04013215Medicaid
KS016484Medicare PIN
KSDE7407OtherRR MEDICARE PIN
KS0788780001Medicare NSC
KS100212480BMedicaid