Provider Demographics
NPI:1255424677
Name:SANCHEZ, OSCAR A (MD)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:A
Last Name:SANCHEZ
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 1:2045 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5437
Mailing Address - Country:US
Mailing Address - Phone:303-338-4545
Mailing Address - Fax:
Practice Address - Street 1:12605 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2545
Practice Address - Country:US
Practice Address - Phone:720-848-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4063208100000X
CO50796208100000X
CODR.0050796207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO022514OtherKAISER COMMERCIAL NUMBER
NE1255424677OtherMEDICARE NPI
NEP00302762OtherMEDICARE RAILROAD
CO64051579Medicaid
TXN4063OtherTEXAS MEDICAL LICENSE
CO022514OtherKAISER COMMERCIAL NUMBER
CO64051579Medicaid
NE1255424677OtherMEDICARE NPI
COCOA107096Medicare PIN