MEDICARE: SHARON QUACH DPM PC

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	651	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00636035	OTHER	CO	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1558388264	OTHER		NPI
2	653789001	OTHER	CO	DME
3	C0A107154	OTHER	CO	MEMORIAL PIN
5	1801844519	OTHER	CO	TRICARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558388264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARON QUACH DPM PC

Provider Business Mailing Address
First Line	:	12201 PECOS ST
Second Line	:	SUITE # 400
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-3888
Country	:	US
Telephone Number	:	303-469-9292
Fax Number	:	303-438-8951

Provider Business Practice Location Address
First Line	:	12201 PECOS ST
Second Line	:	SUITE # 400
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-3888
Country	:	US
Telephone Number	:	303-469-9292
Fax Number	:	303-438-8951

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHARON TRAN QUACH
Credential	:	D.P.M
Telephone Number	:	303-469-9292

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	12/13/2012

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Directions to “SHARON QUACH DPM PC ” Practice Location

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