EDWIN F. DEZOETEN MD NPI 1871701441

NPI Information

NPI: 1871701441
Provider Name: EDWIN F. DEZOETEN, MD
Classification: Pediatrics - 2080P0206X
Entity Type: Individual

Specialization: Pediatric Gastroenterology

PECOS Registration: Yes

Address:
13123 EAST 16TH AVENUE
THE CHILDREN'S HOSPITAL
AURORA, CO
ZIP 80045
Phone: (720) 777-1234
Get Directions

Edwin F. Dezoeten, MD is a pediatric gastroenterology pediatrics in Aurora, CO. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. Edwin F. Dezoeten, MD NPI is 1871701441. 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:

13123 EAST 16TH AVENUE
THE CHILDREN'S HOSPITAL
AURORA, CO
ZIP 80045-106
Phone: (720) 777-1234

The NPI 1871701441 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 5/18/2007 and was last updated on 8/12/2013.

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	2080P0206X	Pediatrics	Pediatric Gastroenterology	MD424151	PENNSYLVANIA	No
2	2080P0206X	Pediatrics	Pediatric Gastroenterology	49029	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	114681	MEDICARE PIN	PENNSYLVANIA
2	30484235	MEDICAID	COLORADO
3	COA101565	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: 4/28/2024

NPI Synchronization or Removal

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