MEDICARE: SCOTT J. HOMPLAND D.O.

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	28824	CO

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	:	1881653111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT J. HOMPLAND D.O.

Provider Business Mailing Address
First Line	:	3333 S BANNOCK ST
Second Line	:	#605
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-2432
Country	:	US
Telephone Number	:	303-788-9332
Fax Number	:	303-788-9335

Provider Business Practice Location Address
First Line	:	3333 S BANNOCK ST
Second Line	:	#605
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-2432
Country	:	US
Telephone Number	:	303-788-9332
Fax Number	:	303-788-9335

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	10/13/2014

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