Provider Demographics
NPI:1972557072
Name:XENOS, JOHN SOTEROS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SOTEROS
Last Name:XENOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10535 PARK MEADOWS BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124
Mailing Address - Country:US
Mailing Address - Phone:303-662-8250
Mailing Address - Fax:303-662-8249
Practice Address - Street 1:10535 PARK MEADOWS BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124
Practice Address - Country:US
Practice Address - Phone:303-662-8250
Practice Address - Fax:303-662-8249
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO30155207X00000X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO09923837Medicaid
COP00201640OtherRR MEDICARE
CO09923837Medicaid
COP00713620Medicare PIN
COI11943Medicare UPIN
COCO304236Medicare PIN