Provider Demographics
NPI:1720170111
Name:OHYE, RICHARD GEORGE (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:GEORGE
Last Name:OHYE
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 1:2055 N HIGH ST STE 260
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5575
Mailing Address - Country:US
Mailing Address - Phone:720-475-8730
Mailing Address - Fax:
Practice Address - Street 1:2055 N HIGH ST STE 260
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5575
Practice Address - Country:US
Practice Address - Phone:720-475-8730
Practice Address - Fax:303-832-7297
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301071198208G00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4077603Medicaid
CO9000170276Medicaid
MI4077603Medicaid