Provider Demographics
NPI:1225056112
Name:POZNANOVIC, SHERI (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERI
Middle Name:
Last Name:POZNANOVIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7851 S ELATI ST STE 102
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8081
Mailing Address - Country:US
Mailing Address - Phone:303-495-9013
Mailing Address - Fax:303-648-6183
Practice Address - Street 1:7851 S ELATI ST STE 102
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8081
Practice Address - Country:US
Practice Address - Phone:303-495-9013
Practice Address - Fax:303-648-6183
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45137174400000X, 207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO808133Medicaid
CO62923561Medicaid
CO91455758Medicaid
NE10025887900Medicaid
WY1225056112Medicaid
KS200750460AMedicaid
SD1225056112Medicaid
CO91455758Medicaid
COCOA106174Medicare PIN