Provider Demographics
NPI:1104834274
Name:NOCE, MICHAEL ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:NOCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11655 W 29TH PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-7094
Mailing Address - Country:US
Mailing Address - Phone:505-554-8818
Mailing Address - Fax:
Practice Address - Street 1:11655 W 29TH PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-7094
Practice Address - Country:US
Practice Address - Phone:505-554-8818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2002-0377207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM79620OtherPRESBYTERIAN HEALTH PLAN
NMNM009S0OtherBCBS
NMV9956Medicaid
NMP00215714OtherRAILROAD MEDICARE
NMNM009S0OtherBCBS
NM349511601Medicare PIN
349511601Medicare ID - Type Unspecified