Provider Demographics
NPI:1538192612
Name:CUTTER, DARREN (MD)
Entity type:Individual
Prefix:DR
First Name:DARREN
Middle Name:
Last Name:CUTTER
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 1:10800 E GEDDES AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3895
Mailing Address - Country:US
Mailing Address - Phone:303-761-9190
Mailing Address - Fax:720-874-4462
Practice Address - Street 1:10800 E GEDDES AVE STE 300
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-3895
Practice Address - Country:US
Practice Address - Phone:303-761-9190
Practice Address - Fax:720-874-4462
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE296942085R0202X
KS04-395182085R0202X
HIMD189572085R0202X
GA0586762085R0202X
CO575882085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1538192612Medicaid
IA1538192612Medicaid
CO25135074Medicaid
KS201146110AMedicaid
WY1538192612Medicaid
OK200674850AMedicaid
AZ221529Medicaid
NM70906068Medicaid
UT1020253Medicaid
NE$$$$$$$$$05Medicaid
UT1020253Medicaid
KS201146110AMedicaid
NM70906068Medicaid
NE$$$$$$$$$00Medicaid
NE$$$$$$$$$04Medicaid
NE$$$$$$$$$08Medicaid
UT1538192612Medicaid
WY1538192612Medicaid
NE$$$$$$$$$03Medicaid
IA1538192612Medicaid
KSKA3249082Medicare PIN
NM70906068Medicaid
KS111257091Medicare PIN
KS201146110AMedicaid
NENA2517081Medicare PIN
NENA1215104Medicare PIN
CO540650YQ33Medicare PIN