Provider Demographics
NPI:1720067671
Name:WAY, DEBORAH ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ELIZABETH
Last Name:WAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5730 WARD RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-1300
Mailing Address - Country:US
Mailing Address - Phone:303-422-6331
Mailing Address - Fax:303-488-6379
Practice Address - Street 1:5730 WARD RD
Practice Address - Street 2:SUITE 102
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1300
Practice Address - Country:US
Practice Address - Phone:303-422-6331
Practice Address - Fax:303-488-6379
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO28280207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1720067671OtherNPI #
CO5471507OtherAETNA
COWA103078OtherANTHEM BCBS
CO513142OtherMEDICARE GROUP NUMBER
CTRO103008OtherGROUP NTHEM BCBS
1215981634OtherGROUP NPI #
CO841365302019OtherRKY MTN HMO
CO01282805Medicaid
CO04020541Medicaid
CO276004OtherCIGNA
CO84136530204OtherPACIFICARE
CO84136530207OtherPACIFICARE PPO
CO01282805Medicaid
1720067671OtherNPI #
E41944Medicare UPIN