Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 11475 | MT |
N | 207V00000X | Obstetrician & Gynecologist | 2003015427 | MO |
N | 207V00000X | Obstetrician & Gynecologist | DR.0050398 | CO |
N | 207V00000X | Obstetrician & Gynecologist | P2013 | TX |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | DR.0050398 | CO |
NPI | 1609077668 |
---|---|
Provider Name | Dr. John Sullivan Joyce |
First Address | Westminster, CO 80021-4094 |
Second Address | Westminster, CO 80021-4094 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 26/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0186433 | (05) | MT |
52782735 | (05) | CO |
84124195213 | (05) | NE |
98076 | BLUE CROSS OF MT (01) | |
COAAA3800 | (02) | CO |