Provider Demographics
NPI:1699754069
Name:HAWES, MICHAEL J (MD, FACS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:HAWES
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Gender:M
Credentials:MD, FACS
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Mailing Address - Street 1:3900 E MEXICO AVE STE 510
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3943
Mailing Address - Country:US
Mailing Address - Phone:303-698-2424
Mailing Address - Fax:303-698-2430
Practice Address - Street 1:3900 E MEXICO AVE STE 510
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3943
Practice Address - Country:US
Practice Address - Phone:303-698-2424
Practice Address - Fax:303-698-2430
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2016-07-23
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Provider Licenses
StateLicense IDTaxonomies
CO20179207W00000X, 207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO300503Medicare PIN
COC39911Medicare PIN