Healthcare Provider Details

I. General information

NPI: 1932369998
Provider Name (Legal Business Name): AMANDA GREENE TONEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA ELIZABETH GREENE M.D.

II. Dates (important events)

Enumeration Date: 06/13/2008
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST
DENVER CO
80204-4597
US

IV. Provider business mailing address

777 BANNOCK ST
DENVER CO
80204-4597
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-2273
  • Fax: 303-602-3310
Mailing address:
  • Phone: 303-602-2273
  • Fax: 303-602-3310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR.0047587
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License NumberDR.0047587
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: