MEDICARE: DR. DAVID RYAN ORMOND MD

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	207T00000X	Neurological Surgery Physician	67516	GA
2	207T00000X	Neurological Surgery Physician	267037	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700159555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID RYAN ORMOND MD

Provider Business Mailing Address
First Line	:	12631 E 17TH AVE
Second Line	:	ACADEMIC OFFICE 1, ROOM 5001, MAILSTOP C307
City	:	AURORA
State	:	CO
Zip	:	80045-2527
Country	:	US
Telephone Number	:	303-724-2284
Fax Number	:	303-724-2300

Provider Business Practice Location Address
First Line	:	12631 E 17TH AVE
Second Line	:	ACADEMIC OFFICE 1, ROOM 5001, MAILSTOP C307
City	:	AURORA
State	:	CO
Zip	:	80045-2527
Country	:	US
Telephone Number	:	303-724-2284
Fax Number	:	303-724-2300

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

Provider Enumeration Date	:	02/09/2012
Last Update Date	:	04/22/2014

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Directions to “ DR. DAVID RYAN ORMOND MD” Practice Location

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