Gregory A Achenbach, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Lone Tree, CO
NPI 1861440539 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861440539
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 19563 (CO)
- Practice address
- 10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522 - Phone
- (720) 225-1267
- Fax
- (720) 225-1269
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19563 | CO | MD | Anatomic Pathology & Clinical Pathology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 19563 | CO | Yes |
Addresses
Primary practice location
10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Mailing address
777 S Wadsworth Blvd
Ste 220
Lakewood, CO 80226-4300
Phone (303) 813-9642
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01195635 | Medicaid | CO |
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All providers in Lone Tree, CO · Anatomic Pathology & Clinical Pathology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.