Paul S Hiratzka, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

23023 Issued in CO

Practice address

2410 W 16TH St
Greeley, CO 80634-6004

Phone

(970) 352-6353

Fax

(970) 356-2264

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Banner Greeley Specialists

  • Multi-Specialty Clinic/Center
  • Greeley, CO
  • NPI 1558595611
  NPD (past)
• Women's Clinic of Greeley

  • Specialist
  • Greeley, CO
  • NPI 1528180023
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1942295241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 W 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346004",
            "telephone_number": "970-352-6353",
            "fax_number": "970-356-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 W 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346004",
            "telephone_number": "970-352-6353",
            "fax_number": "970-356-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRATZKA",
        "first_name": "PAUL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "23023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01230234",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MTN HEALTH",
            "identifier": "840592369002",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "002840592369",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10384520",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HI98928",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Wayne Hill
• Samuel Lindsey Hill Jr., NP
• Jane Frances Hines Broderick, RN
• Carleigh Hinojosa, RBT
• Brenda Hinze, PA
• Cecilia Maria Hirsch, MD
• Kyle Hirsh, D.O.
• Mallory Lois Hislar, MSW, LCSW
• Paige Hiss, NP
• Jeanine Catherine Hjelt

• Specialist in Greeley, CO
• Providers in Greeley, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.