Provider Demographics
NPI:1114111960
Name:WILLIAM CHOI MD NEUROSURGERY ASSOCIATES PROFESSIONAL LLC
Entity type:Organization
Organization Name:WILLIAM CHOI MD NEUROSURGERY ASSOCIATES PROFESSIONAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:W
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-790-2225
Mailing Address - Street 1:8200 E BELLEVIEW AVE STE 400E
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2899
Mailing Address - Country:US
Mailing Address - Phone:800-273-0051
Mailing Address - Fax:480-351-7061
Practice Address - Street 1:8200 E BELLEVIEW AVE STE 400E
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2899
Practice Address - Country:US
Practice Address - Phone:303-790-2225
Practice Address - Fax:303-790-2445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2024-06-27
Deactivation Date:2023-02-23
Deactivation Code:
Reactivation Date:2024-04-29
Provider Licenses
StateLicense IDTaxonomies
CO39725207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO75387859Medicaid
CO75387859Medicaid