JOHN R IMIG M.D. NPI 1801870530

NPI Information

NPI: 1801870530
Provider Name: JOHN R IMIG, M.D.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
4745 ARAPAHOE AVE
SUITE 200
BOULDER, CO
ZIP 80303
Phone: (303) 938-4710
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John R Imig, M.D. is a gynecology obstetrics gynecology in Boulder, CO. John R Imig, M.D. NPI is 1801870530. 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:

4745 ARAPAHOE AVE
SUITE 200
BOULDER, CO
ZIP 80303-080
Phone: (303) 938-4710

The enumeration date for this NPI number is 12/6/2005 and was last updated on 10/31/2012.

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	207VG0400X	Obstetrics & Gynecology	Gynecology	17514	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	D23292	MEDICARE UPIN
2	12068	MEDICARE ID-TYPE UNSPECIFIED	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: 11/14/2023

NPI Synchronization or Removal

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