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1285628396

NPI Code Detail

MEDICARE: DR. RICHARD A HOHM M.D.

MEDICARE: DR. RICHARD A HOHM M.D.

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	208600000X	Surgery Physician	20609	CO
2	2086S0120X	Pediatric Surgery Physician	20609	CO
3	2086S0129X	Vascular Surgery Physician	20609	CO
4	2086X0206X	Surgical Oncology Physician	20609	CO
5	208C00000X	Colon & Rectal Surgery Physician	20609	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3158344004	OTHER		CIGNA ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3158344003	OTHER		CIGNA ID
4	31988	OTHER	CO	ANTHEM BCBS
5	5324338	OTHER		AETNA ID
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	841514692-04	OTHER	CO	PACIFICARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285628396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD A HOHM M.D.

Provider Business Mailing Address
First Line	:	1217 RIVERSIDE AVE
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-3218
Country	:	US
Telephone Number	:	970-490-2662
Fax Number	:	970-490-2909

Provider Business Practice Location Address
First Line	:	1217 RIVERSIDE AVE
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-3218
Country	:	US
Telephone Number	:	970-490-2662
Fax Number	:	970-490-2909

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

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	09/11/2025

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Directions to “ DR. RICHARD A HOHM M.D.” Practice Location

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