| Dr Michael Thomas Davenport, MD | |
|
500 W 144th Ave Ste 220, Westminster, CO 80023-9328 | |
| (720) 227-0977 | |
| Not Available |
| Full Name | Dr Michael Thomas Davenport |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 13 Years |
| Location | 500 W 144th Ave Ste 220, Westminster, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023374006 | NPI | - | NPPES |
| 9000174722 | Medicaid | CO | |
| 029082 | Other | CO | KAISER COMMERCIAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | DR.0062446 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rose Medical Center | Denver, CO | Hospital |
| Centura Health-st Anthony North Health Campus | Westminster, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Urology Pllc | 2365346558 | 53 |
| Entity Name | Advanced Urology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932936192 PECOS PAC ID: 2365346558 Enrollment ID: O20031120000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Thomas Davenport, MD 10200 Grand Central Ave Ste 220, Owings Mills, MD 21117-4366 Ph: () - | Dr Michael Thomas Davenport, MD 500 W 144th Ave Ste 220, Westminster, CO 80023-9328 Ph: (720) 227-0977 |
Paulette G Holley, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4960 W 107th Loop, Westminster, CO 80031 Phone: 303-466-3334 | |
Dr. Amanda Lokke, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 14300 Orchard Pkwy, Westminster, CO 80023 Phone: 303-430-5560 Fax: 303-430-5565 | |
Michael Nicolo Ferrandino, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 500 W 144th Ave Ste 220, Westminster, CO 80023 Phone: 720-227-0977 |