Healthcare Provider Details

I. General information

NPI: 1245496702
Provider Name (Legal Business Name): MICHAEL WORRELL II D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MICAH WORRELL D.O.

II. Dates (important events)

Enumeration Date: 08/04/2008
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9949 S OSWEGO ST STE 200
PARKER CO
80134-3753
US

IV. Provider business mailing address

9949 S OSWEGO ST STE 200
PARKER CO
80134-3753
US

V. Phone/Fax

Practice location:
  • Phone: 303-925-4750
  • Fax: 303-925-4751
Mailing address:
  • Phone: 303-925-4750
  • Fax: 303-925-4751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberDR.0053098
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberDR.0053098
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberCDRH.0053098
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: