Provider Demographics
NPI:1740494467
Name:PAYEA, NORMAN PHILIP II (MD)
Entity type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:PHILIP
Last Name:PAYEA
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:8805 WEST FOURTEENTH AVENUE
Mailing Address - Street 2:SUITE 316 LAKEWOOD MEDICAL CENTER
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-4848
Mailing Address - Country:US
Mailing Address - Phone:303-232-0310
Mailing Address - Fax:303-232-0312
Practice Address - Street 1:8805 WEST FOURTEENTH AVENUE
Practice Address - Street 2:SUITE 316 LAKEWOOD MEDICAL CENTER
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-4848
Practice Address - Country:US
Practice Address - Phone:303-232-0310
Practice Address - Fax:303-232-0312
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2014-07-22
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Provider Licenses
StateLicense IDTaxonomies
CO22517204E00000X, 2082S0099X, 2082S0105X
MI34139204E00000X, 2082S0099X, 2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01225176Medicaid
MI1094226Medicaid
MI0354242Medicare ID - Type Unspecified
CO01225176Medicaid
MI1094226Medicaid
CO70831Medicare ID - Type Unspecified