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1962454900

NPI Code Detail

MEDICARE: DAVID J CIESLA MD

MEDICARE: DAVID J CIESLA 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	208600000X	Surgery Physician	ME 100403	FL
2	2086S0127X	Trauma Surgery Physician	1026633	MA
3	208600000X	Surgery Physician	DR.0040580	CO
4	2086S0102X	Surgical Critical Care Physician	1026633	MA
5	208600000X	Surgery Physician	042-0017059	VT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	09161	OTHER	FL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962454900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID J CIESLA MD

Provider Business Mailing Address
First Line	:	2500 ROCKY MOUNTAIN AVE STE 2200
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9004
Country	:	US
Telephone Number	:	970-203-7250
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 COLCHESTER AVE
Second Line	:
City	:	BURLINGTON
State	:	VT
Zip	:	05401-1473
Country	:	US
Telephone Number	:	802-847-3790
Fax Number	:

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	02/17/2026

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Directions to “ DAVID J CIESLA MD” 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.

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