Provider Demographics
NPI:1477651719
Name:AGUIRRE, OSCAR ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:ANTONIO
Last Name:AGUIRRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11953 LIONESS WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-5640
Mailing Address - Country:US
Mailing Address - Phone:303-322-0500
Mailing Address - Fax:303-322-0772
Practice Address - Street 1:11953 LIONESS WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-5640
Practice Address - Country:US
Practice Address - Phone:303-322-0500
Practice Address - Fax:303-322-0772
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO36046207VG0400X
CO970434207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO841500572OtherHUMANA
CO319108OtherANTHEM BLUE CROSS
CO400398OtherGREAT WEST
CO160045201OtherRAILROAD MEDICARE
CO512315336OtherCHAMPUS
CO84150057202OtherROCKY MOUNTAIN HEALTH PLA
CO84150057202OtherPACIFICARE
CO1360460Medicaid
CO5729546OtherAETNA
CO212490OtherUS HEALTHCARE
CO84150057202OtherSECURE HORIZONS
CO512315336OtherCHAMPUS
CO841500572OtherHUMANA