Provider Demographics
NPI:1780642777
Name:FOLZ, EMILY KAREN (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:KAREN
Last Name:FOLZ
Suffix:
Gender:F
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:PO BOX 110429
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80042-0429
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12605 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2545
Practice Address - Country:US
Practice Address - Phone:720-848-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01064960A2085R0202X
NC380482085R0202X
CODR.00622762085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC63154OtherMEDCOST
NC300060230OtherRAILROAD MEDICARE
NC33130OtherBLUECROSS BLUESHIELD
NC63121OtherMEDCOST
NC63182OtherMEDCOST
NC16-54607OtherUNITED HEALTHCARE
NC16-54608OtherUNITED HEALTHCARE
NC300060230OtherRAILROAD MEDICARE
NC63121OtherMEDCOST
NC7933130Medicaid
NC16-54606OtherUNITED HEALTHCARE
NC300060261OtherRAILROAD MEDICARE
NC2199506DMedicare ID - Type Unspecified
NC2199506AMedicare ID - Type Unspecified
NC7933130Medicaid