Theodore John Gaensbauer, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

18340 Issued in CO

Practice address

3400 E Bayaud Ave
Suite 460
Denver, CO 80209-2926

Phone

(303) 777-8731

Fax

(303) 777-5857

NPI assigned

Jan 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083762306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E BAYAUD AVE",
            "address_2": "SUITE 460",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092926",
            "telephone_number": "303-777-8731",
            "fax_number": "303-777-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E BAYAUD AVE",
            "address_2": "SUITE 460",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092926",
            "telephone_number": "303-777-8731",
            "fax_number": "303-777-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAENSBAUER",
        "first_name": "THEODORE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "18340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia C Gacnik, NP
• Lucas James Gadbury
• Milind Satish Gadgil, MD
• Ida Gadison
• Allison Gadzichowski
• Emily Ann Gaeta, FNP-BC
• Yousuf A Gaffar, MD
• Rachel A Gaffney, MD
• Jennifer R Gafford, PH.D.
• Alexandra Gagas, SLP- 235Z00000X

• Child & Adolescent Psychiatry Physician in Denver, CO
• Providers in Denver, CO by specialty
• Child & Adolescent Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.