Provider Demographics
NPI:1285608166
Name:ARNETT, DONNA L (MD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:L
Last Name:ARNETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DONNA
Other - Middle Name:L
Other - Last Name:BALLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5400 S PARK TERRACE AVE APT 1-106
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3345
Mailing Address - Country:US
Mailing Address - Phone:303-990-2887
Mailing Address - Fax:
Practice Address - Street 1:3531 S LOGAN ST
Practice Address - Street 2:UNIT D408
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3700
Practice Address - Country:US
Practice Address - Phone:303-788-6749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2897207L00000X
CO45083207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO25177311Medicaid
COC806915Medicare PIN
CO25177311Medicaid
COC806914Medicare PIN