Provider Demographics
NPI:1376560375
Name:SETH A REINER, M.D., P.C.
Entity Type:Organization
Organization Name:SETH A REINER, M.D., P.C.
Other - Org Name:ROCKY MOUNTAIN EAR, NOSE & THROAT, P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AILEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-795-5587
Mailing Address - Street 1:200 W COUNTY LINE RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2360
Mailing Address - Country:US
Mailing Address - Phone:303-795-5587
Mailing Address - Fax:303-795-3404
Practice Address - Street 1:200 W COUNTY LINE RD
Practice Address - Street 2:SUITE 330
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2360
Practice Address - Country:US
Practice Address - Phone:303-795-5587
Practice Address - Fax:303-795-3404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCU5008Medicare PIN