Active NPI
Michael David Aasen, MD
- Clinic/Center
- Canon City, CO
National Provider Identifier
1700949500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- DR-32022
- Practice address
- Hwy 50 &Evans Blvd
Canon City, CO 81212 - Phone
- (719) 269-5644
- Fax
- (719) 269-5656
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR-32022 | CO | MD | Clinic/Center |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | DR-32022 | CO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
Hwy 50 &Evans Blvd
Canon City, CO 81212
Mailing address
5 Villa PL
Pueblo, CO 81001-1420
Phone (719) 544-2524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700949500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 VILLA PL",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810011420",
"telephone_number": "719-544-2524",
"fax_number": "719-269-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 50 &EVANS BLVD",
"city": "CANON CITY",
"state": "CO",
"postal_code": "81212",
"telephone_number": "719-269-5644",
"fax_number": "719-269-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AASEN",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CO",
"license": "DR-32022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canon City, CO
Sources for this page
- 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.