Provider Demographics
NPI:1245327089
Name:BARRIOS, JOSE M (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:M
Last Name:BARRIOS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9224 TEDDY LANE
Mailing Address - Street 2:#220
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-6798
Mailing Address - Country:US
Mailing Address - Phone:303-790-1515
Mailing Address - Fax:303-790-1989
Practice Address - Street 1:9224 TEDDY LN
Practice Address - Street 2:SUITE 220
Practice Address - City:LONETREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6798
Practice Address - Country:US
Practice Address - Phone:303-869-2121
Practice Address - Fax:303-869-2266
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2010-09-28
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Provider Licenses
StateLicense IDTaxonomies
CO394802080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04018362OtherGROUP MEDICAID
WY117164000Medicaid
NM04859278Medicaid
CO1699895755OtherGROUP NPI
OK200293420 AOtherGROUP MEDICAID
NE84127410413OtherGROUP MEDICAID
CO43450083Medicaid
WY109864100OtherGROUP MEDICAID
SD1245327089Medicaid
OK200297450 AMedicaid
OK200297450 AMedicaid