Active NPI
Eiko Stella Hanna
- Ambulatory Surgical Clinic/Center
- Denver, CO
National Provider Identifier
1417388497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0192009
- Practice address
- 2045 Franklin Street
Denver, CO 80205 - Phone
- (303) 639-5626
- Fax
- (303) 639-1111
- NPI assigned
- Dec 2, 2013
- Last updated
- Dec 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0192009 | CO | Primary |
Addresses
Primary practice location
2045 Franklin Street
Denver, CO 80205
Mailing address
10240 Park Meadows Drive
Lone Tree, CO 80124
Phone (303) 764-4451
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0192009 | CO | MD | Ambulatory Surgical Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1417388497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10240 PARK MEADOWS DRIVE",
"city": "LONE TREE",
"state": "CO",
"postal_code": "80124",
"telephone_number": "303-764-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 FRANKLIN STREET",
"city": "DENVER",
"state": "CO",
"postal_code": "80205",
"telephone_number": "303-639-5626",
"fax_number": "303-639-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "EIKO",
"middle_name": "STELLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-02",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CO",
"license": "0192009",
"primary": true
}
],
"identifiers": [],
"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 Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.