Basic Information
Provider Information
NPI: 1962840934
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUME
FirstName: PATRICK
MiddleName: SCOTT
NamePrefix: DR.
NameSuffix:  
Credential: MD, PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1400 JACKSON ST
Address2:  
City: DENVER
State: CO
PostalCode: 802062761
CountryCode: US
TelephoneNumber: 3033884461
FaxNumber: 3033981211
Practice Location
Address1: 1400 JACKSON ST
Address2:  
City: DENVER
State: CO
PostalCode: 802062762
CountryCode: US
TelephoneNumber: 3033884461
FaxNumber: 3032702206
Other Information
ProviderEnumerationDate: 06/12/2013
LastUpdateDate: 11/12/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/12/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X58547CON Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RP1001XTL.005947CON Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RC0200X58547COY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


Home