Provider Demographics
NPI:1629059308
Name:WILKINS, ROSS M (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:M
Last Name:WILKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-837-0072
Mailing Address - Fax:303-837-0075
Practice Address - Street 1:1601 E 19TH AVE
Practice Address - Street 2:SUITE 3300
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1239
Practice Address - Country:US
Practice Address - Phone:303-837-0072
Practice Address - Fax:303-837-0075
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2013-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO23814207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1245556091Medicaid
NM93026718Medicaid
CO01238146Medicaid
WY1629059308Medicare PIN
NE1245556091Medicaid
COCOA102913Medicare PIN
COC363458Medicare ID - Type Unspecified
CO01238146Medicaid