Basic Information
| Provider Information | |||||||||
| NPI: | 1700880085 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COTE | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | RICHARD | ||||||||
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| OtherLastName: | COTE | ||||||||
| OtherFirstName: | CHRISTOPHER | ||||||||
| OtherMiddleName: | RICHARD | ||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | PO BOX 172263 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802172263 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033067783 | ||||||||
| FaxNumber: | 3033067753 | ||||||||
| Practice Location | |||||||||
| Address1: | 2352 MEADOWS BLVD STE 300 | ||||||||
| Address2: | |||||||||
| City: | CASTLE ROCK | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801098419 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7204414021 | ||||||||
| FaxNumber: | 7204414021 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/02/2005 | ||||||||
| LastUpdateDate: | 11/07/2018 | ||||||||
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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 | 207YX0905X | 48236 | CO | Y | Allopathic & Osteopathic Physicians | Otolaryngology | Otolaryngology/Facial Plastic Surgery | 207Y00000X | DR.0048236 | CO | N | Allopathic & Osteopathic Physicians | Otolaryngology |
ID Information
| ID | Type | State | Issuer | Description | FC1279279 | 01 | CO | DEA | OTHER | 0101058398 | 01 | VA | STATE | OTHER | 97831387 | 05 | CO | MEDICAID | D0062479 | 01 | MD | STATE | OTHER | 48236 | 01 | CO | STATE | OTHER |