Provider Demographics
NPI:1578669172
Name:RONEY, PATRICK JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:JOSEPH
Last Name:RONEY
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 1:3025 S PARKER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2911
Mailing Address - Country:US
Mailing Address - Phone:303-481-7030
Mailing Address - Fax:303-745-7665
Practice Address - Street 1:3025 S PARKER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2911
Practice Address - Country:US
Practice Address - Phone:303-481-7030
Practice Address - Fax:303-745-7665
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO23327207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01233279Medicaid
COEVERCAREOther01-29995
COCOA106764Medicare PIN