Provider Demographics
NPI:1821127416
Name:COMPREHENSIVE ANESTHESIA P.C.
Entity Type:Organization
Organization Name:COMPREHENSIVE ANESTHESIA P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:DOOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-689-2300
Mailing Address - Street 1:7447 E BERRY AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2142
Mailing Address - Country:US
Mailing Address - Phone:303-689-2300
Mailing Address - Fax:303-991-9805
Practice Address - Street 1:7447 E BERRY AVE STE 150
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2142
Practice Address - Country:US
Practice Address - Phone:303-689-2300
Practice Address - Fax:303-991-9805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO38390OtherLICENSE NUMBER
COCO801786OtherANTHEM BLUE SHIELD
COCO801786OtherANTHEM BLUE SHIELD
ILF60957Medicare UPIN
COC809248Medicare PIN