Provider Demographics
NPI:1750375838
Name:CURREY, H WAYNE (MD)
Entity type:Individual
Prefix:
First Name:H
Middle Name:WAYNE
Last Name:CURREY
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 1:2233 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-3831
Mailing Address - Country:US
Mailing Address - Phone:970-497-8416
Mailing Address - Fax:970-497-8410
Practice Address - Street 1:320 N 3RD ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:CO
Practice Address - Zip Code:81425-0529
Practice Address - Country:US
Practice Address - Phone:970-323-6141
Practice Address - Fax:970-323-6117
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-06
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17978207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01179787Medicaid
D23365Medicare UPIN
CO303386YS6EMedicare PIN
22151Medicare ID - Type Unspecified