Provider Demographics
NPI:1255313441
Name:SCHLESSINGER, GREGORY S (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:S
Last Name:SCHLESSINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9777 S YOSEMITE ST STE 110
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-3115
Mailing Address - Country:US
Mailing Address - Phone:720-696-0852
Mailing Address - Fax:720-696-0892
Practice Address - Street 1:9777 S YOSEMITE ST STE 110
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-3115
Practice Address - Country:US
Practice Address - Phone:720-696-0852
Practice Address - Fax:720-696-0892
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY13028C207RN0300X
CO37524207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO64939766Medicaid
COC443598OtherMEDICARE PTAN
COC443598OtherMEDICARE PTAN