=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912955113
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CATHERINE REEDY MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/04/2006
-----------------------------------------------------
Last Update Date | 06/06/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 455 SHERMAN ST STE 510
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80203-4400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-336-8304
-----------------------------------------------------
Fax | 303-377-6825
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 455 SHERMAN ST STE 510
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80203-4400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-336-8304
-----------------------------------------------------
Fax | 303-377-6825
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number | 33493
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------