Provider Demographics
NPI:1730129859
Name:ABRAMSON, SIMEON D (MD)
Entity Type:Individual
Prefix:
First Name:SIMEON
Middle Name:D
Last Name:ABRAMSON
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 1:10800 E GEDDES AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3895
Mailing Address - Country:US
Mailing Address - Phone:303-761-9190
Mailing Address - Fax:720-874-4462
Practice Address - Street 1:501 E HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2702
Practice Address - Country:US
Practice Address - Phone:303-761-9190
Practice Address - Fax:720-874-4462
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD174502085R0202X
KS04-366942085R0202X
NE249962085R0202X
CO416192085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1730129859Medicaid
IA1730129859Medicaid
KS200418400AMedicaid
MI104686015Medicaid
WY118361300Medicaid
MT1730129859Medicaid
CAXPY201210Medicaid
NE10025709000Medicaid
NM57876738Medicaid
SD1730129859/7726650Medicaid
TX2189037Medicaid
NE84-059792913Medicaid
AKMD979COMedicaid
GA407772780AMedicaid
NV1730129859Medicaid
IL1730129859Medicaid
AZ920589Medicaid
COC495218Medicaid
COP00008724OtherMIC RR M'CARE
CO28301811Medicaid
NC7617657Medicaid
COP00008544OtherRIA RR M'CARE
NEP00720361OtherRR MCR NE
UT1730129859Medicaid
IL1730129859Medicaid
NENA2517019Medicare PIN
NENA1215024Medicare PIN
COCO40651Medicare PIN
COH39320Medicare UPIN
KS200418400AMedicaid
IA1730129859Medicaid
MI104686015Medicaid
TX2189037Medicaid