Provider Demographics
NPI:1629046529
Name:ASPLUND, SHERYL LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:LYNN
Last Name:ASPLUND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14275 MIDWAY RD
Mailing Address - Street 2:STE 400
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3614
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:610-271-4245
Practice Address - Street 1:6750 W 52ND AVE
Practice Address - Street 2:SUITE F
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-3956
Practice Address - Country:US
Practice Address - Phone:720-898-3300
Practice Address - Fax:720-898-3333
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO41885207ZH0000X, 207ZP0102X
AZ42579207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO03451321Medicaid
UTZ1071Medicaid
NM70339368Medicaid
CO362194YTHQOtherMEDICARE COLORADO PTAN
AZ42579OtherMD LICENSE
AZ844135Medicaid
NM70339368Medicaid
UTZ1071Medicaid
AZ844135Medicaid