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Contact Information

NATHAN J SUSNOW, MD
1000 W SOUTH BOULDER RD STE 200
LAFAYETTE, CO80026-2088
 Phone: 720-932-7719
 Fax: 720-890-0364
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Transplant Hepatology

207RT0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NATHAN J SUSNOW · (Male)

NPI Number 1396891974
Status Active
Credentials MD
Entity Individual
Enumeration date 01/26/2007
Last updated 04/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CO License # DR.0054243
  • CO Medicaid 53276311
  • CO Other 028861 KAISER COMMERCIAL NUMBER
Hospital affiliation(s)
  • BOULDER COMMUNITY HOSPITAL - (Acute Care)
    4747 ARAPAHOE AVENUE
    BOULDER, CO 80304
  • EXEMPLA GOOD SAMARITAN MEDICAL CENTER LLC - (Acute Care)
    200 EXEMPLA CIRCLE
    LAFAYETTE, CO 80026
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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