Provider Demographics
NPI:1275643918
Name:HELM, MARK LEROY (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:LEROY
Last Name:HELM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:505 ANGLERS DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8836
Mailing Address - Country:US
Mailing Address - Phone:970-879-3750
Mailing Address - Fax:970-870-1400
Practice Address - Street 1:505 ANGLERS DR
Practice Address - Street 2:SUITE 202
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8836
Practice Address - Country:US
Practice Address - Phone:970-879-3750
Practice Address - Fax:970-870-1400
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
CO30453207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01304534Medicaid
CO30453OtherCO STATE LIC
COBH2493156OtherDEA
CO30453OtherCO STATE LIC
F27121Medicare UPIN