Provider Demographics
NPI:1669699278
Name:SPLICHAL, ARON JAMES (DO)
Entity type:Individual
Prefix:DR
First Name:ARON
Middle Name:JAMES
Last Name:SPLICHAL
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 1:10700 E GEDDES AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3861
Mailing Address - Country:US
Mailing Address - Phone:303-761-9190
Mailing Address - Fax:720-874-4462
Practice Address - Street 1:1801 16TH ST
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631
Practice Address - Country:US
Practice Address - Phone:303-761-9190
Practice Address - Fax:720-874-4462
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-355302085R0202X
NE6362085R0202X
CO600482085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO639682YQN9OtherMEDICARE PTAN
KSKA3249106OtherMEDICARE PTAN
CO9000159143Medicaid
CO639682YQPGOtherMEDICARE PTAN
CO639682ZLJ3OtherMEDICARE PTAN
CO649828OtherMEDICARE PTAN
NENA2517107OtherMEDICARE PTAN
NENA1214129OtherMEDICARE PTAN
KS111257115OtherMEDICARE PTAN
KS200973160CMedicaid
CO639682YQ33OtherMEDICARE PTAN
NENA1215130OtherMEDICARE PTAN
CO639682ZLJ3OtherMEDICARE PTAN
NENA1214129OtherMEDICARE PTAN
NENA1215130OtherMEDICARE PTAN
NE$$$$$$$$$10Medicaid
NE$$$$$$$$$03Medicaid
CO9000159143Medicaid
NENA2517107OtherMEDICARE PTAN
NE$$$$$$$$$08Medicaid
NE$$$$$$$$$11Medicaid