Provider Demographics
NPI:1235212523
Name:DENVER ALLERGY AND ASTHMA ASSOCIATES PC
Entity Type:Organization
Organization Name:DENVER ALLERGY AND ASTHMA ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOT
Authorized Official - Last Name:RUMBYRT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-234-1067
Mailing Address - Street 1:1746 COLE BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3208
Mailing Address - Country:US
Mailing Address - Phone:303-234-1067
Mailing Address - Fax:303-232-2967
Practice Address - Street 1:1746 COLE BLVD STE 320
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3208
Practice Address - Country:US
Practice Address - Phone:303-234-1067
Practice Address - Fax:303-232-2967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04884045Medicaid
KS100366530AMedicaid
KS100366530AMedicaid
KS031917Medicare ID - Type Unspecified