Provider Demographics
NPI:1295769354
Name:HAMMOND, ROBERT SCOTT (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:SCOTT
Last Name:HAMMOND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8601 TURNPIKE DRIVE
Mailing Address - Street 2:#200
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031
Mailing Address - Country:US
Mailing Address - Phone:303-428-7449
Mailing Address - Fax:303-487-5196
Practice Address - Street 1:8601 TURNPIKE DRIVE
Practice Address - Street 2:#200
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031
Practice Address - Country:US
Practice Address - Phone:303-428-7449
Practice Address - Fax:303-487-5196
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO22454207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01224542Medicaid
CO01224542Medicaid
D24104Medicare UPIN
COC65038Medicare PIN