Healthcare Provider Details

I. General information

NPI: 1871768085
Provider Name (Legal Business Name): SCOTT RONALD SHARP M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 11/27/2023
Certification Date: 11/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S. POTOMAC ST #240
AURORA CO
80012-4541
US

IV. Provider business mailing address

4900 S. MONACO ST #210
DENVER CO
80237-3486
US

V. Phone/Fax

Practice location:
  • Phone: 303-750-8600
  • Fax: 303-743-7800
Mailing address:
  • Phone: 303-750-8600
  • Fax: 303-743-7800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number134532
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberDR.0050028
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: