WESTERN OTOLARYNGOLOGY – NPI #1093986986
Otolaryngology

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

WESTERN OTOLARYNGOLOGY is an otolaryngologist located in WHEAT RIDGE, CO. NPPES has assigned the NPI number 1093986986 to WESTERN OTOLARYNGOLOGY on March 18, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207YX0905X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery

The NPI profile was previously updated about 17 years ago on Jun 23, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WESTERN OTOLARYNGOLOGY below.

NPI Profile for
WESTERN OTOLARYNGOLOGY

NPI Number
1093986986
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WESTERN OTOLARYNGOLOGY
Primary location
3550 LUTHERAN PKWY W
STE 102
WHEAT RIDGE, CO 80033-6013
Phone: (303) 425-0449 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CARLA FETZER
OFFICE MANAGER
Phone: (303) 425-0449
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0905X
- Otolaryngology / Otolaryngology/Facial Plastic Surgery (Primary)
CO 19871416289

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.