MEDICARE: MEDICINE WITH HEART MEDICAL PLLC

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1437961117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICINE WITH HEART MEDICAL PLLC

Provider Business Mailing Address
First Line	:	3333 S WADSWORTH BLVD UNIT D160
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80227-5131
Country	:	US
Telephone Number	:	303-722-1143
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 S WADSWORTH BLVD UNIT D160
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80227-5131
Country	:	US
Telephone Number	:	303-722-1143
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALEKSANDRA DEIBEL
Credential	:	MD
Telephone Number	:	316-708-3272

Provider Enumeration Date	:	01/21/2025
Last Update Date	:	01/21/2025

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