Provider Demographics
NPI:1427142843
Name:OESTERREICHER, SANDY H (MD)
Entity type:Individual
Prefix:DR
First Name:SANDY
Middle Name:H
Last Name:OESTERREICHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SANDY
Other - Middle Name:H
Other - Last Name:HWANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:720 S COLORADO BLVD
Mailing Address - Street 2:SUITE 220A
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1912
Mailing Address - Country:US
Mailing Address - Phone:303-584-8231
Mailing Address - Fax:866-210-0907
Practice Address - Street 1:9224 TEDDY LANE
Practice Address - Street 2:#200
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6799
Practice Address - Country:US
Practice Address - Phone:303-790-1515
Practice Address - Fax:303-790-1989
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO438792080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM06080081Medicaid
WY109864100OtherGROUP MEDICAID
NE84127410413OtherGROUP MEDICAID
SD1720293251Medicaid
CO39083039Medicaid
OK200293420 AOtherGROUP MEDICAID
NE10025609200Medicaid
CO04018362OtherGROUP MEDICAID
1699895755OtherGROUP NPI
WY122633900Medicaid