Provider Demographics
NPI:1962460204
Name:DENVER-VAIL ORTHOPEDICS PC
Entity Type:Organization
Organization Name:DENVER-VAIL ORTHOPEDICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:W
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-214-4500
Mailing Address - Street 1:8101 E LOWRY BLVD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-7196
Mailing Address - Country:US
Mailing Address - Phone:303-214-4500
Mailing Address - Fax:303-214-4571
Practice Address - Street 1:8101 E LOWRY BLVD
Practice Address - Street 2:SUITE 260
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-7196
Practice Address - Country:US
Practice Address - Phone:303-214-4500
Practice Address - Fax:303-214-4571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04257227Medicaid
382008Medicare ID - Type Unspecified