Healthcare Provider Details

I. General information

NPI: 1215226311
Provider Name (Legal Business Name): ADAM SCOTT LEVY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2011
Last Update Date: 05/16/2024
Certification Date: 05/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 YOUNGFIELD ST STE 371
GOLDEN CO
80401-2265
US

IV. Provider business mailing address

2801 YOUNGFIELD ST STE 371
GOLDEN CO
80401-2265
US

V. Phone/Fax

Practice location:
  • Phone: 303-954-8878
  • Fax:
Mailing address:
  • Phone: 303-954-8878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberDR.0066342
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License NumberA166437
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number000000
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberA166437
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: