Healthcare Provider Details

I. General information

NPI: 1255637294
Provider Name (Legal Business Name): COLORADO SKIN AND VEIN, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2011
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 INVERNESS DR W STE 110
ENGLEWOOD CO
80112-5212
US

IV. Provider business mailing address

195 INVERNESS DR WEST STE 200
ENGLEWOOD CO
80112
US

V. Phone/Fax

Practice location:
  • Phone: 303-683-3235
  • Fax: 303-683-3236
Mailing address:
  • Phone: 303-683-3235
  • Fax: 303-683-3236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID MATTHEW VEREBELYI
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 303-683-3235