Provider Demographics
NPI:1336334465
Name:CONSIDINE, CATHERINE LEANNE (DO)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LEANNE
Last Name:CONSIDINE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 E 19TH AVE
Mailing Address - Street 2:SUITE 4000
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1216
Mailing Address - Country:US
Mailing Address - Phone:303-832-0860
Mailing Address - Fax:303-832-1457
Practice Address - Street 1:1601 E 19TH AVE
Practice Address - Street 2:SUITE 4000
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1216
Practice Address - Country:US
Practice Address - Phone:303-832-0860
Practice Address - Fax:303-832-1457
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45920207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO48533874Medicaid
CO1831389998OtherGROUP NPI
CO48533874Medicaid