MEDICARE: ELIZABETH L SOMMERFELD DO

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	207Q00000X	Family Medicine Physician	OT018125	PA
2	207Q00000X	Family Medicine Physician	DR.006820	CO

General Provider Information

NPI Number	:	1144740705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH L SOMMERFELD DO

Provider Business Mailing Address
First Line	:	4650 SIGNAL TREE DR UNIT B200
Second Line	:
City	:	TIMNATH
State	:	CO
Zip	:	80547-4911
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4650 SIGNAL TREE DR UNIT B200
Second Line	:
City	:	TIMNATH
State	:	CO
Zip	:	80547-4911
Country	:	US
Telephone Number	:	970-810-3150
Fax Number	:

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

Provider Enumeration Date	:	06/26/2017
Last Update Date	:	01/13/2026

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