Provider Demographics
NPI:1740523323
Name:LIBBON, JAMES VINCENT (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:VINCENT
Last Name:LIBBON
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 1:8175 SHERIDAN BLVD UNIT N
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-1928
Mailing Address - Country:US
Mailing Address - Phone:888-405-6396
Mailing Address - Fax:415-252-7176
Practice Address - Street 1:8175 SHERIDAN BLVD UNIT N
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-1928
Practice Address - Country:US
Practice Address - Phone:888-405-6396
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0058990207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO029493OtherKAISER COMMERCIAL NUMBER
CO9000156177Medicaid