Healthcare Provider Details
I. General information
NPI: 1720170111
Provider Name (Legal Business Name): RICHARD GEORGE OHYE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/29/2006
Last Update Date: 01/21/2022
Certification Date: 01/21/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2055 N HIGH ST STE 260
DENVER CO
80205-5575
US
IV. Provider business mailing address
2055 N HIGH ST STE 260
DENVER CO
80205-5575
US
V. Phone/Fax
- Phone: 720-475-8730
- Fax: 303-832-7297
- Phone: 720-475-8730
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208G00000X |
| Taxonomy | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | 4301071198 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 4301071198 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: