Provider Demographics
NPI:1952892101
Name:GINSBURG, STEVEN ADAM
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:ADAM
Last Name:GINSBURG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 SHEA CENTER DR STE 301
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2277
Mailing Address - Country:US
Mailing Address - Phone:303-300-4103
Mailing Address - Fax:
Practice Address - Street 1:9205 S BROADWAY
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-5631
Practice Address - Country:US
Practice Address - Phone:303-330-0271
Practice Address - Fax:303-330-0371
Is Sole Proprietor?:No
Enumeration Date:2018-05-23
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0993931-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner