TIMOTHY M CROMBLEHOLME MD NPI 1194882175

NPI Information

NPI: 1194882175
Provider Name: TIMOTHY M CROMBLEHOLME, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
12605 E 16TH AVE
AURORA, CO
ZIP 80045
Phone: (720) 848-0000
Get Directions

Timothy M Crombleholme, MD is a pediatric surgery surgery in Aurora, CO. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Timothy M Crombleholme, MD NPI is 1194882175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

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

The NPI 1194882175 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 11/14/2022.

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	2086S0120X	Surgery	Pediatric Surgery	35.083881	OHIO	No
2	2086S0120X	Surgery	Pediatric Surgery	50786	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	Other Provider Identifier Issuer
1	03604764	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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