Provider Demographics
NPI:1841346012
Name:HIGGINS, ANDREW GERARD (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:GERARD
Last Name:HIGGINS
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 1:6680 CRESTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-2232
Mailing Address - Country:US
Mailing Address - Phone:303-238-1660
Mailing Address - Fax:
Practice Address - Street 1:6680 CRESTBROOK DR
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465-2232
Practice Address - Country:US
Practice Address - Phone:303-238-1660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24227207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC41631Medicare PIN