Provider Demographics
NPI:1346259231
Name:EINHORN, NICOLE F (MD)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:F
Last Name:EINHORN
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 1:7350 E PROGRESS PL
Mailing Address - Street 2:STE 201
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2135
Mailing Address - Country:US
Mailing Address - Phone:720-282-4707
Mailing Address - Fax:303-539-7467
Practice Address - Street 1:7350 E PROGRESS PL
Practice Address - Street 2:STE 201
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2135
Practice Address - Country:US
Practice Address - Phone:720-282-4707
Practice Address - Fax:303-539-4767
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01053132A207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200135850AOtherMEDICAID GROUP
901167OtherUNITED HEALTHCARE
000000092092OtherANTHEM
IN874640OtherMEDICARE GROUP
90000692OtherBCIL GROUP NUMBER
IN000000104771OtherANTHEM GROUP
5250556OtherAETNA
CI3318OtherRRMEDICARE GROUP
1603526OtherFIRST HEALTH
IN200282110AMedicaid
IL36093064Medicaid
90000692OtherBCIL GROUP NUMBER
CI3318OtherRRMEDICARE GROUP
200039571Medicare PIN
IL36093064Medicaid