Basic Information
| Provider Information | |||||||||
| NPI: | 1669699278 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SPLICHAL | ||||||||
| FirstName: | ARON | ||||||||
| MiddleName: | JAMES | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10700 E GEDDES AVE STE 200 | ||||||||
| Address2: | |||||||||
| City: | ENGLEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801123861 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037619190 | ||||||||
| FaxNumber: | 7208744462 | ||||||||
| Practice Location | |||||||||
| Address1: | 1801 16TH ST | ||||||||
| Address2: | |||||||||
| City: | GREELEY | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80631 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037619190 | ||||||||
| FaxNumber: | 7208744462 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2007 | ||||||||
| LastUpdateDate: | 07/24/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | 05-35530 | KS | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0202X | 636 | NE | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0202X | 60048 | CO | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 639682YQN9 | 01 | CO | MEDICARE PTAN | OTHER | KA3249106 | 01 | KS | MEDICARE PTAN | OTHER | 9000159143 | 05 | CO | MEDICAID | 639682YQPG | 01 | CO | MEDICARE PTAN | OTHER | 639682ZLJ3 | 01 | CO | MEDICARE PTAN | OTHER | 649828 | 01 | CO | MEDICARE PTAN | OTHER | NA2517107 | 01 | NE | MEDICARE PTAN | OTHER | NA1214129 | 01 | NE | MEDICARE PTAN | OTHER | 111257115 | 01 | KS | MEDICARE PTAN | OTHER | 200973160C | 05 | KS | MEDICAID | 639682YQ33 | 01 | CO | MEDICARE PTAN | OTHER | NA1215130 | 01 | NE | MEDICARE PTAN | OTHER |