Provider Demographics
NPI:1013279884
Name:TRAINOR, DREW M (DO)
Entity type:Individual
Prefix:
First Name:DREW
Middle Name:M
Last Name:TRAINOR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7730 E BELLEVEIW AVE
Mailing Address - Street 2:SUITE A-104
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2603
Mailing Address - Country:US
Mailing Address - Phone:303-327-5511
Mailing Address - Fax:303-327-5512
Practice Address - Street 1:7730 E BELLEVEIW AVE
Practice Address - Street 2:SUITE A-104
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2603
Practice Address - Country:US
Practice Address - Phone:303-327-5511
Practice Address - Fax:303-327-5512
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN55808208100000X
CO0056819208100000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNP01210647OtherMEDICARE RAILROAD
COCOA108888Medicare PIN
MNP01210647OtherMEDICARE RAILROAD