MEDICARE: DR. KATHERINE J HLADKY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	CDRH.0072023	CO
2	207VG0400X	Gynecology Physician	2006027162	MO
3	207VX0000X	Obstetrics Physician	MD214513	OR
4	207V00000X	Obstetrics & Gynecology Physician	C1-0011903	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013044189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE J HLADKY MD

Provider Business Mailing Address
First Line	:	4755 OGLETOWN STANTON RD STE 1900
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19718-2200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2030 MOUNTAIN VIEW AVE STE 400
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80501-3182
Country	:	US
Telephone Number	:	720-652-8730
Fax Number	:	720-652-8729

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	09/24/2025

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