MEDICARE: ALEXANDER CONNELLY 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	208M00000X	Hospitalist Physician	CDRH.0069168	CO
2	207R00000X	Internal Medicine Physician	CDRH.0069168	CO

General Provider Information

NPI Number	:	1366820557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER CONNELLY M.D.

Provider Business Mailing Address
First Line	:	2119 MT ZION DR
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-1739
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2119 MT ZION DR
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-1739
Country	:	US
Telephone Number	:	626-201-1615
Fax Number	:

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

Provider Enumeration Date	:	05/08/2015
Last Update Date	:	03/11/2026

Similar Medicare Providers

1811399876 — STELLA SHETU OGBEIDE NURSE PRACTITIONER
Practice Location Address:

1707 COLE BLVD STE 100
GOLDEN, CO
80401-3219

Practice Phone: 866-949-0108
Practice Fax:

1447836176 — SCOTT JOSSART MD
Practice Location Address:

12911 W 40TH AVE
GOLDEN, CO
80401-2696

Practice Phone: 303-425-4500
Practice Fax:

1689120073 — JACLYN PICCONE PT, DPT
Practice Location Address:

2801 YOUNGFIELD ST STE 170
GOLDEN, CO
80401-0210

Practice Phone: 720-845-1976
Practice Fax: 303-409-2233

1932309531 — DR. KIMBERLY SUE SCHLICHTING PH.D.
Practice Location Address:

14799 W 6TH AVE STE A5
GOLDEN, CO
80401-5256

Practice Phone: 720-324-6585
Practice Fax:

1003763301 — JARED LEGRAND KENNEDY
Practice Location Address:

12911 W 40TH AVE
GOLDEN, CO
80401-2696

Practice Phone: 303-425-4500
Practice Fax:

1891534855 — KIMBERLY THIES DINEEN PA-C
Practice Location Address:

12905 W 40TH AVE STE 515
GOLDEN, CO
80401-2794

Practice Phone: 303-665-2603
Practice Fax:

Directions to “ ALEXANDER CONNELLY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.