Provider Demographics
NPI:1346421245
Name:SMITH, ADAM P (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:P
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7780 S BROADWAY
Mailing Address - Street 2:SUITE 350
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2648
Mailing Address - Country:US
Mailing Address - Phone:720-638-7500
Mailing Address - Fax:720-583-6770
Practice Address - Street 1:7780 S BROADWAY
Practice Address - Street 2:#350
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2648
Practice Address - Country:US
Practice Address - Phone:720-638-7500
Practice Address - Fax:720-583-6770
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2015-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO49595207T00000X
IL036119297207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM66752779Medicaid
CO28139267Medicaid
COP01025183Medicare PIN
CO28139267Medicaid