GARRET M GANNUCH M.D. NPI 1225049174

NPI Information

  • NPI: 1225049174
  • Provider Name: GARRET M GANNUCH, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1746 COLE BLVD
    SUITE 150
    LAKEWOOD, CO
    ZIP 80401
  • Phone: (303) 914-8800

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NPI Details

Garret M Gannuch, M.D. is a diagnostic radiology radiology in Lakewood, CO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Garret M Gannuch, M.D. NPI is 1225049174. 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:

1746 COLE BLVD
SUITE 150
LAKEWOOD, CO
ZIP 80401-208
Phone: (303) 914-8800
Fax: (303) 716-3777

The NPI 1225049174 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 8/10/2006 and was last updated on 2/24/2016.

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
12085R0202XRadiologyDiagnostic RadiologyDR.0028922COLORADOYes

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
101289222MEDICAIDCOLORADO
2C809549MEDICARE PINCOLORADO
3CH6638MEDICARE PINCOLORADO
4COA105268MEDICARE PINCOLORADO
5300028884MEDICARE PINCOLORADO
6C803975MEDICARE PINCOLORADO
7F53361MEDICARE UPINCOLORADO
8C801369MEDICARE PINCOLORADO
9C801370MEDICARE PINCOLORADO
10C804001MEDICARE PINCOLORADO

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: 11/21/2025

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