Healthcare Provider Details

I. General information

NPI: 1427094267
Provider Name (Legal Business Name): MICHAEL ANTHONY COADY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 E HARVARD AVE STE 550
DENVER CO
80210-7000
US

IV. Provider business mailing address

950 E HARVARD AVE STE 550
DENVER CO
80210-7000
US

V. Phone/Fax

Practice location:
  • Phone: 303-269-2920
  • Fax: 32-692-9213
Mailing address:
  • Phone: 303-269-2920
  • Fax: 32-692-9213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number11857
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberDR.73872
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: