Provider Demographics
NPI:1407180938
Name:OH BECK, ESTHER E (MD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:E
Last Name:OH BECK
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 1:15101 E ILIFF AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4543
Mailing Address - Country:US
Mailing Address - Phone:303-966-9601
Mailing Address - Fax:303-369-2605
Practice Address - Street 1:15101 E ILIFF AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4543
Practice Address - Country:US
Practice Address - Phone:303-966-9601
Practice Address - Fax:303-369-2605
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR71116208000000X
AZ44368208000000X
CODR0052837208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ613599Medicaid
CO63756242Medicaid