Provider Demographics
NPI:1972590107
Name:PINSINSKI, DAVID L (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:PINSINSKI
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 1:10431 TOWN CENTER DR STE 400
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-6076
Mailing Address - Country:US
Mailing Address - Phone:303-955-8314
Mailing Address - Fax:303-993-4013
Practice Address - Street 1:10431 TOWN CENTER DR STE 400
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-6076
Practice Address - Country:US
Practice Address - Phone:303-955-8314
Practice Address - Fax:303-993-4013
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37740202K00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No202K00000XAllopathic & Osteopathic PhysiciansPhlebology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO45586047Medicaid
CO45586047Medicaid
365428Medicare ID - Type Unspecified