Healthcare Provider Details

I. General information

NPI: 1811527690
Provider Name (Legal Business Name): OPTIONS MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2020
Last Update Date: 01/22/2020
Certification Date: 01/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N EMERSON ST STE 240
DENVER CO
80218-1067
US

IV. Provider business mailing address

1800 N EMERSON ST STE 240
DENVER CO
80218-1067
US

V. Phone/Fax

Practice location:
  • Phone: 303-731-6366
  • Fax: 720-613-0284
Mailing address:
  • Phone: 303-731-6366
  • Fax: 720-613-0284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANHTUAN PHAM
Title or Position: CEO
Credential: MD
Phone: 720-308-0195