WESTERN OTOLARYNGOLOGY
NPI 1093986986
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Wheat Ridge, CO

Active since March 18, 2008
3550 LUTHERAN PKWY W, STE 102, WHEAT RIDGE, CO 80033(303) 425-0449 Get Directions Write a Review

NPPES record last updated: June 23, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Western Otolaryngology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN OTOLARYNGOLOGY (NPI 1093986986) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Wheat Ridge, Colorado and active in the NPI registry since March 2008. The organization lists Carla Fetzer, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093986986
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameWESTERN OTOLARYNGOLOGY
Location Address3550 LUTHERAN PKWY W, STE 102Wheat Ridge, CO 80033-6013
Mailing Address3550 Lutheran Pkwy W, Ste 102 BWheat Ridge, CO 80033-6013 · (303) 425-0449
Organization SubpartNo
Authorized OfficialCarla FetzerOffice Manager · (303) 425-0449
Enumeration DateMarch 18, 2008
Last NPPES UpdateJune 23, 2009
NPI 1093986986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License Licensed in CO · 19871416289
Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

3550 LUTHERAN PKWY W, Wheat Ridge, CO 80033

Other Identifiers 1

Medicare PINC86104CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
3550 LUTHERAN PKWY W, STE 102B
WHEAT RIDGE, CO 80033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093986986, enumerated as an "organization" on March 18, 2008.

The provider is located at 3550 LUTHERAN PKWY W STE 102 WHEAT RIDGE, CO 80033 and the phone number is (303) 425-0449.

Otolaryngology with taxonomy code 207YX0905X and a focus in Otolaryngology/Facial Plastic Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.