MEDICARE: KIRK T QUACKENBUSH MD

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	207P00000X	Emergency Medicine Physician	26543	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	930098610	OTHER	CO	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497727184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRK T QUACKENBUSH MD

Provider Business Mailing Address
First Line	:	550 S WADSWORTH BLVD
Second Line	:	SUITE 410
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-3111
Country	:	US
Telephone Number	:	303-202-1283
Fax Number	:	303-202-1281

Provider Business Practice Location Address
First Line	:	1600 PRAIRIE CENTER PKWY
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80601-4006
Country	:	US
Telephone Number	:	303-458-1600
Fax Number	:

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

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	01/04/2013

Similar Medicare Providers

1790615615 — KELLY O'CONNELL RN
Practice Location Address:

1600 PR CTR PKWY
BRIGHTON, CO
80601-4006

Practice Phone: 303-498-1600
Practice Fax:

1629071758 — BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
Practice Location Address:

1600 PRAIRIE CENTER PARKWAY
BRIGHTON, CO
80601-4006

Practice Phone: 303-498-1600
Practice Fax: 303-498-3629

1053396663 — DR. CANDACE ANN HARROD MD
Practice Location Address:

1600 PRAIRIE CENTER PKWY
BRIGHTON, CO
80601-4006

Practice Phone: 303-498-1600
Practice Fax:

1508836198 — PLATTE VALLEY EMERGENCY PHYSICIANS, PC
Practice Location Address:

1600 PRAIRIE CENTER PKWY
BRIGHTON, CO
80601-4006

Practice Phone: 303-659-1531
Practice Fax: 303-654-8170

1124090154 — COLORADO PATHOLOGY CONSULTANTS PC
Practice Location Address:

1600 PRAIRIE CENTER PKWY
BRIGHTON, CO
80601-4006

Practice Phone: 877-701-8188
Practice Fax:

1508838426 — ROBERT J DIXON MD
Practice Location Address:

1600 PRAIRIE CENTER PKWY
BRIGHTON, CO
80601-4006

Practice Phone: 303-458-1600
Practice Fax: 303-498-1915

Directions to “ KIRK T QUACKENBUSH MD” 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.