Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 20609 | CO |
N | 208600000X | Surgeon | 20609 | CO |
N | 2086S0120X | Pediatric Surgery | 20609 | CO |
N | 2086S0129X | Vascular Surgeon | 20609 | CO |
N | 2086X0206X | Surgical Oncologist | 20609 | CO |
N | 208C00000X | Colorectal Surgeon | 20609 | CO |
NPI | 1285628396 |
---|---|
Provider Name | Dr. Richard A Hohm |
First Address | Fort Collins, CO 80524-3218 |
Second Address | Fort Collins, CO 80524-3218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01206093 | (05) | CO |
0612012 | (05) | TX |
3158344003 | CIGNA ID (01) | |
3158344004 | CIGNA ID (01) | |
31988 | ANTHEM BCBS (01) | CO |
5324338 | AETNA ID (01) | |
841514692-00 | (05) | NE |
841514692-04 | PACIFICARE (01) | CO |
D23811 | (02) |