MEDICARE: CYNTHIA S CLASSEN DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	490	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	480033568	OTHER	CO	RRW MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	OB51983	OTHER	CO	HMO COLORADO
3	2700336	OTHER		EVERCARE
4	OB51983	OTHER	CO	BCBS
5	84153666401	OTHER	CO	PACIFICARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	3893610001	OTHER		PALMETTO

General Provider Information

NPI Number	:	1144238569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA S CLASSEN DPM

Provider Business Mailing Address
First Line	:	7505 VILLAGE SQUARE DR
Second Line	:	SUITE 101
City	:	CASTLE PINES
State	:	CO
Zip	:	80108-3692
Country	:	US
Telephone Number	:	303-805-5156
Fax Number	:	303-805-5157

Provider Business Practice Location Address
First Line	:	7505 VILLAGE SQUARE DR
Second Line	:	SUITE 101
City	:	CASTLE PINES
State	:	CO
Zip	:	80108-3692
Country	:	US
Telephone Number	:	303-805-5156
Fax Number	:	303-805-5157

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	06/02/2014

Similar Medicare Providers

1407078652 — PODIATRY ASSOCIATES, INC.
Practice Location Address:

7505 VILLAGE SQUARE DR , STE 101
CASTLE PINES, CO
80108-3692

Practice Phone: 303-805-5156
Practice Fax: 303-805-5157

1467715557 — DR. PAUL FAWSON D.P.M.
Practice Location Address:

7505 VILLAGE SQUARE DR , SUITE 101
CASTLE PINES, CO
80108-3692

Practice Phone: 303-805-5156
Practice Fax: 303-805-5157

1194124099 — KRISTINA CALABRESE
Practice Location Address:

7505 VILLAGE SQUARE DR , #101
CASTLE PINES, CO
80108-3692

Practice Phone: 303-805-5156
Practice Fax: 303-805-5157

1679198089 — JULIE ANNE PETERSEN
Practice Location Address:

7505 VILLAGE SQUARE DR
CASTLE PINES, CO
80108-3692

Practice Phone: 303-805-5156
Practice Fax:

1427646199 — DALE CARL FREDRICKSON MA, MDIV, PHD
Practice Location Address:

7505 VILLAGE SQUARE DR
CASTLE PINES, CO
80108-3692

Practice Phone: 303-323-4722
Practice Fax:

1649168238 — IMMERSIV HEALTH OF COLORADO, PLLC
Practice Location Address:

7505 VILLAGE SQUARE DR STE 105
CASTLE PINES, CO
80108-3692

Practice Phone: 877-551-6650
Practice Fax: 855-694-4656

Directions to “ CYNTHIA S CLASSEN DPM” Practice Location

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