Healthcare Provider Details

I. General information

NPI: 1447402060
Provider Name (Legal Business Name): ADAM WEINGART MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2008
Last Update Date: 05/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W HAMPDEN AVE SUITE #600
ENGLEWOOD CO
80110-2330
US

IV. Provider business mailing address

333 W HAMPDEN AVE SUITE #600
ENGLEWOOD CO
80110-2330
US

V. Phone/Fax

Practice location:
  • Phone: 303-761-5646
  • Fax: 720-439-9500
Mailing address:
  • Phone: 303-761-5646
  • Fax: 720-439-9500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number52273
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: