Organization Active NPI

Mile High Wound and Hyperbaric Medicine PLLC

  • Family Medicine Physician
  • Lakewood, CO
National Provider Identifier
1194145656
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0051390 Issued in CO
Legal business name
MILE HIGH WOUND AND HYPERBARIC MEDICINE PLLC
Practice address
12065 W Auburn Dr
Lakewood, CO 80228-4765
Phone
(706) 202-7433
NPI assigned
Apr 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Nelu Daniel Cojanu, MD
Title
Owner
Phone
(706) 202-7433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0051390 CO Primary

Addresses

Primary practice location

12065 W Auburn Dr
Lakewood, CO 80228-4765

Mailing address

12065 W Auburn Dr
Lakewood, CO 80228-4765

Other identifiers 1

IdentifierTypeStateIssuer
0051390OtherCOLICENSURE - STATE OF COLORADO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1194145656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12065 W AUBURN DR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802284765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12065 W AUBURN DR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802284765",
            "telephone_number": "706-202-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH WOUND AND HYPERBARIC MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "COJANU",
        "authorized_official_first_name": "NELU",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-202-7433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0051390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE - STATE OF COLORADO",
            "identifier": "0051390",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.