Provider Demographics
NPI:1639369390
Name:NEUROSURGICAL AND SPINE SPECIALISTS PC
Entity Type:Organization
Organization Name:NEUROSURGICAL AND SPINE SPECIALISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-996-7555
Mailing Address - Street 1:850 E HARVARD AVE STE 255
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5032
Mailing Address - Country:US
Mailing Address - Phone:303-728-4029
Mailing Address - Fax:303-996-7556
Practice Address - Street 1:850 E HARVARD AVE STE 255
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5032
Practice Address - Country:US
Practice Address - Phone:303-996-7555
Practice Address - Fax:303-996-7556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO39816207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO73584070Medicaid
COC810813Medicare PIN