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General NPI Number Information
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NPI Number | 1205812104
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Entity Type | Individual
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Provider Name | MICHAEL A MONTICELLI MD
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 2312 N NEVADA AVE STE 400
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-5320
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Country | US
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Telephone | 719-577-2555
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Fax | 719-793-7053
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Provider Business Mailing Address
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Address Line | 7951 E MAPLEWOOD AVE STE 300
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4726
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Country | US
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Telephone | 303-930-7803
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Fax | 303-930-5503
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 0035987
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD21314
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License Number State | OR
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