Provider Demographics
NPI:1477534154
Name:LADIKA, JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:LADIKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8246 WEST BOWLES AVENUE
Mailing Address - Street 2:BLDG 1, UNIT T
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123
Mailing Address - Country:US
Mailing Address - Phone:303-800-0880
Mailing Address - Fax:
Practice Address - Street 1:8199 SOUTHPARK LN
Practice Address - Street 2:SUITE 100
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5667
Practice Address - Country:US
Practice Address - Phone:303-730-3332
Practice Address - Fax:303-730-7766
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37159173000000X, 207Q00000X
CODR.0037159207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No173000000XOther Service ProvidersLegal Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC803462Medicare PIN
COG55914Medicare UPIN