Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | 527 | CO |
N | 213ES0000X | Sports Medicine | 527 | CO |
Y | 213ES0103X | Foot & Ankle Surgery | 527 | CO |
NPI | 1154389443 |
---|---|
Provider Name | Dr. Joseph Edward Mechanik |
First Address | Centennial, CO 80111-1725 |
Second Address | Centennial, CO 80111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 20/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P00607547 | RAILROAD MEDICARE (01) | CO |
U67407 | (02) | CO |