Provider Demographics
NPI:1992846158
Name:THE CENTER FOR HEAD & NECK SURGEY
Entity Type:Organization
Organization Name:THE CENTER FOR HEAD & NECK SURGEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHRAMM JR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-839-7980
Mailing Address - Street 1:1601 E 19TH AVE
Mailing Address - Street 2:SUITE 3100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1216
Mailing Address - Country:US
Mailing Address - Phone:303-839-7980
Mailing Address - Fax:303-839-7936
Practice Address - Street 1:1601 E 19TH AVE
Practice Address - Street 2:SUITE 3100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1216
Practice Address - Country:US
Practice Address - Phone:303-839-7980
Practice Address - Fax:303-839-7936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO27828174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COD8608Medicare ID - Type Unspecified
COD25003Medicare UPIN