DOUGLAS P PELLER DO LLC NPI 1871620682

NPI Information

  • NPI: 1871620682
  • Provider Name: DOUGLAS P PELLER DO LLC
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Organization
  • Address: 9141 GRANT ST
    SUITE 240
    THORNTON, CO
    ZIP 80229
  • Phone: (303) 920-1015

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NPI Details

DOUGLAS P PELLER DO LLC is an otolaryngology/facial plastic surgery otolaryngology in Thornton, CO. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. DOUGLAS P PELLER DO LLC NPI is 1871620682. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9141 GRANT ST
SUITE 240
THORNTON, CO
ZIP 80229-374
Phone: (303) 920-1015
Fax: (303) 252-1437

The provider's authorized official is Douglas P Peller .
The authorized official title is Physician And Surgeon and has the following contact phone number (303) 920-1015.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 6/8/2016.

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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery37826COLORADOYes

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 Other Provider Identifier Issuer
163286271MEDICAIDCOLORADO
2G15732MEDICARE UPINCOLORADO
3C8152MEDICARE ID-TYPE UNSPECIFIEDCOLORADO

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: 3/30/2025

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