MEDICARE: DR. THEODORE JOHN GAENSBAUER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	18340	CO

General Provider Information

NPI Number	:	1083762306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THEODORE JOHN GAENSBAUER M.D.

Provider Business Mailing Address
First Line	:	3400 E BAYAUD AVE
Second Line	:	SUITE 460
City	:	DENVER
State	:	CO
Zip	:	80209-2926
Country	:	US
Telephone Number	:	303-777-8731
Fax Number	:	303-777-5857

Provider Business Practice Location Address
First Line	:	3400 E BAYAUD AVE
Second Line	:	SUITE 460
City	:	DENVER
State	:	CO
Zip	:	80209-2926
Country	:	US
Telephone Number	:	303-777-8731
Fax Number	:	303-777-5857

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1528029337 — TERRY ALAN DOWNING MD
Practice Location Address:

3400 E BAYAUD AVE , STE. 400
DENVER, CO
80209-2926

Practice Phone: 303-321-2044
Practice Fax: 303-321-3072

1740248319 — DR. EDMUND CASPER M.D.
Practice Location Address:

3400 E BAYAUD AVE , 210
DENVER, CO
80209-2926

Practice Phone: 303-880-3545
Practice Fax:

1245255223 — DR. LARRY DOUGLAS SUMNER O.D.
Practice Location Address:

3400 E BAYAUD AVE , SUITE 485
DENVER, CO
80209-2926

Practice Phone: 303-321-1606
Practice Fax: 303-321-0920

1225270309 — EDMUND CASPER MD PC
Practice Location Address:

3400 E BAYAUD AVE , STE:210
DENVER, CO
80209-2926

Practice Phone: 303-880-3545
Practice Fax:

1073841300 — LARRY D SUMNER, OD, PC
Practice Location Address:

3400 E BAYAUD AVE , SUITE 485
DENVER, CO
80209-2926

Practice Phone: 303-321-1606
Practice Fax: 303-321-0920

1992023394 — MICHAEL G MORAN MD
Practice Location Address:

3400 E BAYAUD AVE , SUITE 222
DENVER, CO
80209-2926

Practice Phone: 303-861-1575
Practice Fax:

Directions to “ DR. THEODORE JOHN GAENSBAUER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.