JAVIER WAKSMAN MDPC. NPI 1760668842

NPI Information

NPI: 1760668842
Provider Name: JAVIER WAKSMAN MD,PC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
12605 E 16TH AVE
AURORA, CO
ZIP 80045
Phone: (720) 848-0000
Get Directions

JAVIER WAKSMAN MD,PC. is a specialist in Aurora, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JAVIER WAKSMAN MD,PC. NPI is 1760668842. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12605 E 16TH AVE
AURORA, CO
ZIP 80045-545
Phone: (720) 848-0000
Fax: (303) 316-7942

The provider's authorized official is Javier Waksman .
The authorized official title is Owner and has the following contact phone number (303) 493-7000.

The enumeration date for this NPI number is 1/18/2008 and was last updated on 1/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		39764	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	76473279	MEDICAID	COLORADO
2	H60611	MEDICARE PIN	COLORADO
3	524508	MEDICARE PIN	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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