Provider Demographics
NPI:1881612141
Name:SCHILLING, DON H (MD)
Entity type:Individual
Prefix:
First Name:DON
Middle Name:H
Last Name:SCHILLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4745 ARAPAHOE AVE
Mailing Address - Street 2:STE 130
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-1080
Mailing Address - Country:US
Mailing Address - Phone:303-443-2771
Mailing Address - Fax:303-443-2784
Practice Address - Street 1:4745 ARAPAHOE AVE
Practice Address - Street 2:STE 130
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1080
Practice Address - Country:US
Practice Address - Phone:303-443-2771
Practice Address - Fax:303-443-2784
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO20287207Y00000X
AZ41993207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO20287OtherSTATE LICENSE
CO04012993Medicaid
CO04012993Medicaid
COS2318Medicare ID - Type Unspecified
Z142151Medicare PIN
COA57071119OtherDEA