Provider Demographics
NPI:1255398111
Name:FORSCHNER, DAVID (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:FORSCHNER
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 1:1601 E 19TH AVE
Mailing Address - Street 2:SUITE 4200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1216
Mailing Address - Country:US
Mailing Address - Phone:303-861-4914
Mailing Address - Fax:303-861-8615
Practice Address - Street 1:1601 E 19TH AVE
Practice Address - Street 2:SUITE 4200
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1216
Practice Address - Country:US
Practice Address - Phone:303-861-4914
Practice Address - Fax:303-861-8615
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37203207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO42829569Medicaid
CO34307532Medicaid
CO392618OtherMEDICARE ID
160051617OtherRR MEDICARE
CO392618OtherMEDICARE ID
COG99768Medicare UPIN
CO492618Medicare PIN
CO34307532Medicaid
COC392618Medicare PIN
CO392608Medicare PIN
KS101782Medicare PIN