Provider Demographics
NPI:1619937513
Name:PIKO, JAMES I (DO)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:I
Last Name:PIKO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 UNIVERSITY BLVD
Mailing Address - Street 2:STE 77, RADIOLOGY SPECIALIST OF DENVER
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206
Mailing Address - Country:US
Mailing Address - Phone:720-941-7000
Mailing Address - Fax:720-941-7070
Practice Address - Street 1:210 UNIVERSITY BLVD
Practice Address - Street 2:STE 77, RADIOLOGY SPECIALIST OF DENVER
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206
Practice Address - Country:US
Practice Address - Phone:720-941-7000
Practice Address - Fax:720-941-7070
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO388552085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO63830361Medicaid
84152255601OtherPACIFICARE
300115612OtherRR MED B
5926687OtherAETNA PPO
841522556OtherWORKERS COMP
2446685OtherAETNA HMO
8415225560010OtherRMHMO
RA362108OtherBCBS
841522556OtherWORKERS COMP
362208Medicare ID - Type Unspecified