Active NPI
Thomas G Mordick II, MD
- Orthopaedic Hand Surgery Physician
- Denver, CO
National Provider Identifier
1326086596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 30767
- Practice address
- 1830 Franklin St
Suite 450
Denver, CO 80218-1128 - Phone
- (303) 321-1333
- Fax
- (303) 321-0620
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 30767 | CO | Primary |
Addresses
Primary practice location
1830 Franklin St
Suite 450
Denver, CO 80218-1128
Mailing address
2058 Clermont St
Denver, CO 80207-3738
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04013215 | Medicaid | CO | |
| 01306760 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30767 | CO | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Surgery Associates, PC | Hand Surgery | Past | Accepting new patients |
Interoperability endpoints
- thomas.mordick.1@17074.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Orthopaedic Hand Surgery Physician
- Englewood, CO
- NPI 1265470470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1326086596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2058 CLERMONT ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802073738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 FRANKLIN ST",
"address_2": "SUITE 450",
"city": "DENVER",
"state": "CO",
"postal_code": "802181128",
"telephone_number": "303-321-1333",
"fax_number": "303-321-0620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORDICK",
"first_name": "THOMAS",
"middle_name": "G",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "CO",
"license": "30767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04013215",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01306760",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.