Provider Demographics
NPI:1437135712
Name:MASON, ROMY E (MD)
Entity Type:Individual
Prefix:DR
First Name:ROMY
Middle Name:E
Last Name:MASON
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 1:10405 MARTIN LUTHER KING BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2399
Mailing Address - Country:US
Mailing Address - Phone:303-393-4330
Mailing Address - Fax:303-322-4195
Practice Address - Street 1:10405 MARTIN LUTHER KING BLVD STE 110
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-2399
Practice Address - Country:US
Practice Address - Phone:303-393-4330
Practice Address - Fax:303-322-4195
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO39841174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO38485222Medicaid
COP00371606OtherRAILROAD MEDICARE
COC800426Medicare PIN
COP00371606OtherRAILROAD MEDICARE