Healthcare Provider Details

I. General information

NPI: 1689037947
Provider Name (Legal Business Name): EMILY SARAH MISCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2016
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E HAMPDEN AVE STE 300
ENGLEWOOD CO
80113-2795
US

IV. Provider business mailing address

500 E HAMPDEN AVE STE 300
ENGLEWOOD CO
80113-2886
US

V. Phone/Fax

Practice location:
  • Phone: 330-714-6937
  • Fax:
Mailing address:
  • Phone: 303-567-7703
  • Fax: 303-567-7703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License NumberDR.0067705
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD478123
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: