Provider Demographics
NPI:1881654267
Name:WEINSTEIN, ALAN JONATHON (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:JONATHON
Last Name:WEINSTEIN
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 1:7200 S ALTON WAY STE A120
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2234
Mailing Address - Country:US
Mailing Address - Phone:720-282-2288
Mailing Address - Fax:
Practice Address - Street 1:7200 S ALTON WAY STE A120
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2234
Practice Address - Country:US
Practice Address - Phone:720-282-2288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217628207RE0101X
CO47565207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000196734Medicaid
CO029348OtherKAISER COMMERCIAL NUMBER