MEDICARE: ADAM THOMAS SORENSEN D.O.

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	207N00000X	Dermatology Physician	76388	CO

General Provider Information

NPI Number	:	1194967521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM THOMAS SORENSEN D.O.

Provider Business Mailing Address
First Line	:	1390 S POTOMAC ST STE 124
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-4529
Country	:	US
Telephone Number	:	303-368-8611
Fax Number	:	303-368-9791

Provider Business Practice Location Address
First Line	:	1390 S POTOMAC ST STE 124
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-4529
Country	:	US
Telephone Number	:	303-368-8611
Fax Number	:	303-368-9791

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

Provider Enumeration Date	:	03/31/2009
Last Update Date	:	05/26/2026

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Directions to “ ADAM THOMAS SORENSEN D.O.” Practice Location

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