Provider Demographics
NPI:1225081581
Name:GINSBURG, STANLEY HERBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:HERBERT
Last Name:GINSBURG
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 1:4545 E 9TH AVE
Mailing Address - Street 2:SUITE 510
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3901
Mailing Address - Country:US
Mailing Address - Phone:303-321-0700
Mailing Address - Fax:303-321-0811
Practice Address - Street 1:4545 E 9TH AVE
Practice Address - Street 2:SUITE 510
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3901
Practice Address - Country:US
Practice Address - Phone:303-321-0700
Practice Address - Fax:303-321-0811
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO138222084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01138221Medicaid
CO01138221Medicaid
CO368828Medicare ID - Type Unspecified