Provider Demographics
NPI:1053490839
Name:NEMECHEK, ANDREW J (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
Last Name:NEMECHEK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2535 S DOWNING ST
Mailing Address - Street 2:SUITE 480
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5847
Mailing Address - Country:US
Mailing Address - Phone:303-778-5658
Mailing Address - Fax:303-778-5621
Practice Address - Street 1:701 E HAMPDEN AVE STE 225
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2737
Practice Address - Country:US
Practice Address - Phone:303-788-9200
Practice Address - Fax:303-781-4368
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2022-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO40976207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO11072253Medicaid
CO11072253Medicaid
COP00441763Medicare PIN
CO804462Medicare PIN