Provider Demographics
NPI:1598891244
Name:ACHEE, MITCHELL D (MD)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:D
Last Name:ACHEE
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 1:1746 COLE BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3208
Mailing Address - Country:US
Mailing Address - Phone:303-914-8800
Mailing Address - Fax:
Practice Address - Street 1:1746 COLE BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3208
Practice Address - Country:US
Practice Address - Phone:303-914-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO244352085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO003941OtherKAISER COMMERCIAL NUMBER
CO01244359Medicaid
COC801370Medicare PIN
CO003941OtherKAISER COMMERCIAL NUMBER
CO300062940Medicare PIN
COC801369Medicare PIN
COD17436Medicare UPIN
COC804009Medicare PIN
COC803975Medicare PIN
COCH6688Medicare PIN
CO379831YK5YMedicare PIN
COP00915624Medicare PIN