Michael C Vidas, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

DR.0031693 Issued in CO

Practice address

403 Summit Blvd
Broomfield, CO 80021-8252

Phone

(720) 401-2139

Fax

(303) 469-4439

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: michaelvidas@pent.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peoria Ear Nose and Throat Group SC

  • Otolaryngology Physician
  • Peoria, IL
  • NPI 1952380628
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1083685515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SUMMIT BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218252",
            "telephone_number": "720-401-2139",
            "fax_number": "303-469-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SUMMIT BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218252",
            "telephone_number": "720-401-2139",
            "fax_number": "303-469-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAS",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "DR.0031693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7215792",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Velte Jordan
• Radhika Vemuri
• Yatzari Venzor
• John K Vermilyen, NP
• Very Good Therapy LLC
• Meredith Villiers, LCSW
• Gavin Vink, DC
• Vision Associates LLC
• Visionary Eye Care, PLLC
• Angela Vonlintel

• Otolaryngology Physician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Otolaryngology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.